True Colors Tangible Change Behavioral Health Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRUE COLORS TANGIBLE CHANGE BEHAVIORAL HEALTH SERVICES LLC

Doing business as

True Colors . Tangible Change Behavioral Health Services LLC

Practice address

1325 E Kemper Rd Ste 211
Springdale, OH 45246-3921

Phone

(513) 726-8354

NPI assigned

Oct 11, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Kaniya C. Murray, QMHS, JSOCCNPI 1255974432

Title

Founder/ Ceo

Phone

(513) 335-7556

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• True Colors . Tangible Change Behavioral Health Services LLC Doing business as

Tax ID family

True Colors Tangible Change Behavioral Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• True Colors Tangible Change Behavioral Health Services LLC

  dba True Colors Tangible Change Behavioral Health Services

  • Community/Behavioral Health Agency
  • Springdale, OH
  • NPI 1457037715
  NPD tax ID

Practitioners 2

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

• Kaniya C Murray, QMHS BA

  • Case Manager/Care Coordinator
  • Cincinnati, OH
  • NPI 1255974432
  NPD Authorized official
• Jermil Tarver, LSW

  • Clinical Social Worker
  • Springdale, OH
  • NPI 1952198756
  NPD

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1508581596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E KEMPER RD STE 211",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452463921",
            "telephone_number": "513-726-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E KEMPER RD STE 211",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452463921",
            "telephone_number": "513-726-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE COLORS TANGIBLE CHANGE BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "KANIYA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "FOUNDER/ CEO",
        "authorized_official_telephone_number": "513-335-7556",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "QMHS, JSOCC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255974432",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Colors . Tangible Change Behavioral Health Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "True Colors . Tangible Change Behavioral Health Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lauren Deseret Walker, HAIR LOSS SPECIALIST

• Community/Behavioral Health Agency in Springdale, OH
• Providers in Springdale, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.