Individual provider Active NPI

Atha Leeann Sanders, B.S.

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1528807591
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APP-000776976 Issued in OH
Practice address
665 E Dublin Granville Rd Ste 420
Columbus, OH 43229-3245
Phone
(614) 396-7056
NPI assigned
May 21, 2024
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 APP-000776976 OH Primary

Addresses

Primary practice location

665 E Dublin Granville Rd Ste 420
Columbus, OH 43229-3245

Mailing address

1802 Quarry Ridge Dr
Columbus, OH 43232-1625
Phone (614) 581-9323

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
APP-000776976OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspiring Purpose Counseling Group LLC Mental Health CurrentSince May 26, 2024 Accepting new patients
Ryzing Starr Youth Initiative, LLC Mental Health CurrentSince May 26, 2024 Accepting new patients
Ryzing Starr Youth Initiative, LLC PastSince May 26, 2024 Accepting new patients

Locations

665 E Dublin Granville Rd
Ste 420
Columbus, OH 43229
Phone (614) 396-7056

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1528807591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 QUARRY RIDGE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432321625",
            "telephone_number": "614-581-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 E DUBLIN GRANVILLE RD STE 420",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293245",
            "telephone_number": "614-396-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ATHA",
        "middle_name": "LEEANN",
        "name_prefix": "Miss",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "APP-000776976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 21, 2024; 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.