NPIMap

Organization Active NPI

Manifesting Excellence LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
National Provider Identifier
1437699543
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
964511 Issued in OH
Legal business name
MANIFESTING EXCELLENCE LLC
Practice address
6100 Channingway Blvd
Suite 605
Columbus, OH 43232-2910
Phone
(614) 694-0990
NPI assigned
Mar 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Ann Crawley-McGhee, LICDC-CSNPI 1124470612
Title
Owner/ Ceo
Phone
(614) 626-8464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 964511 OH
Community/Behavioral Health Agency 251S00000X 964511 OH Primary

Addresses

Primary practice location

6100 Channingway Blvd
Suite 605
Columbus, OH 43232-2910

Mailing address

6100 Channingway Blvd
Suite 605
Columbus, OH 43232-2910
Phone (614) 626-8464

Other identifiers 1

IdentifierTypeStateIssuer
0174232MedicaidOH

Other names 1

  • MELLC Doing business as

National Provider Directory

National Provider Directory

Locations

6100 Channingway Blvd
Ste 605
Columbus, OH 43232
Phone (614) 626-8464

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1437699543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 CHANNINGWAY BLVD",
            "address_2": "SUITE 605",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322910",
            "telephone_number": "614-626-8464",
            "fax_number": "614-626-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 CHANNINGWAY BLVD",
            "address_2": "SUITE 605",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322910",
            "telephone_number": "614-694-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFESTING EXCELLENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "CRAWLEY-MCGHEE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "614-626-8464",
        "authorized_official_credential": "LICDC-CS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "964511",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "964511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0174232",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MELLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MELLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.