Individual provider Active NPI

Mariah Brooke Tendam, LPCC

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1518629625
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2404613 Issued in OH
Practice address
2722 Erie Ave Ste 219
PMB 743304
Cincinnati, OH 45208-2154
Phone
(513) 443-4363
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.2404613 OH Primary

Addresses

Primary practice location

2722 Erie Ave Ste 219
PMB 743304
Cincinnati, OH 45208-2154

Mailing address

2722 Erie Ave Ste 219
PMB 743304
Cincinnati, OH 45208-2154
Phone (513) 443-4363

Other practice location 1

8200 Beckett Park Dr Ste 111
West Chester, OH 45069-9316
Phone (513) 991-7007

Other practice location 2

6944 Tylersville Rd
West Chester, OH 45069-1511
Phone (513) 991-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.2404613OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Bonds Counseling LLC Mental Health CurrentSince Dec 14, 2025 Accepting new patients
Sirona Mental Wellness, LLC Mental Health Past Accepting new patients

Locations

2722 Erie Ave
Ste 219
Cincinnati, OH 45208
Phone (216) 217-9257

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1518629625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 ERIE AVE STE 219",
            "address_2": "PMB 743304",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082154",
            "telephone_number": "513-443-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 ERIE AVE STE 219",
            "address_2": "PMB 743304",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082154",
            "telephone_number": "513-443-4363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Beckett Park Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450699316",
            "country_code": "US",
            "telephone_number": "513-991-7007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6944 Tylersville Rd",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450691511",
            "country_code": "US",
            "telephone_number": "513-991-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENDAM",
        "first_name": "MARIAH",
        "middle_name": "BROOKE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2404613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; 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.