Individual provider Active NPI

Cleopatra Enakhena, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1558733998
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.025312 Issued in OH
Practice address
2621 Victory Pkwy
Cincinnati, OH 45206-1754
Phone
(513) 751-7747
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 379268 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.025312 OH Primary

Addresses

Primary practice location

2621 Victory Pkwy
Cincinnati, OH 45206-1754

Mailing address

4968 Glenway Ave
Cincinnati, OH 45238-3902
Phone (513) 853-6575

Other identifiers 1

IdentifierTypeStateIssuer
0328430MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923000816 OH Practitioner - Nurse Practitioner 4082944830 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talbert HouseGroup PAC ID 1951314319, 37 clinicians

Practice addresses (Care Compare)

1515 Carll St
Cincinnati, OH 45225-2012
Phone (513) 244-3985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
379268OHMDRegistered Nurse
APRN.CNP.025312OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Talbert House CurrentSince Aug 14, 2019 Accepting new patients
Dymphna Mental Health Services LLC Psychiatric/Mental Health Current Accepting new patients
Thrive Counseling LLC CurrentSince Aug 20, 2021 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince May 19, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4968 Glenway Ave
Cincinnati, OH 45238
Phone (513) 471-6000

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

2752 Erie Ave
Cincinnati, OH 45208
Phone (513) 871-0290

1515 Carll St
Cincinnati, OH 45225
Phone (513) 244-3985

2621 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 221-4673

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

1890 Northwest Blvd
Ste 140
Columbus, OH 43212
Phone (614) 515-6291

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 4

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": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1558733998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4968 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383902",
            "telephone_number": "513-853-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 VICTORY PKWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061754",
            "telephone_number": "513-751-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENAKHENA",
        "first_name": "CLEOPATRA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "379268",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.025312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0328430",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.