Organization Active NPI

Higher Ground Wellness

  • Clinical Social Worker
  • Newark, OH
National Provider Identifier
1437891736
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HIGHER GROUND WELLNESS
Practice address
1616 W Church St Ste a
Newark, OH 43055-1540
Phone
(740) 562-6500
NPI assigned
Apr 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Mallory Moody, LISW
Title
Owner
Phone
(740) 562-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1616 W Church St Ste a
Newark, OH 43055-1540

Mailing address

514 Arlington Ave
Newark, OH 43055-6886
Phone (740) 562-6500

Other identifiers 1

IdentifierTypeStateIssuer
1437667755MedicaidOH

National Provider Directory

National Provider Directory

Locations

1616 W Church St
#A
Newark, OH 43055
Phone (740) 616-0778

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1437891736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 ARLINGTON AVE",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430556886",
            "telephone_number": "740-562-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W CHURCH ST STE A",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551540",
            "telephone_number": "740-562-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHER GROUND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-562-6500",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437667755",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.