Gloves Up Boxing Gym LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GLOVES UP BOXING GYM LLC

Practice address

4300 E Broad St
Columbus, OH 43213-1243

Phone

(614) 900-4621

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Nia Winfield, QMHSNPI 1033837737

Title

Owner

Phone

(614) 900-4621

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 1

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

• Nia Nichole Winfield, QBHS3

  • Counselor
  • Columbus, OH
  • NPI 1033837737
  NPD Authorized official

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1568174860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5254 LINGLE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432137627",
            "telephone_number": "614-900-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131243",
            "telephone_number": "614-900-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOVES UP BOXING GYM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-18",
        "status": "A",
        "authorized_official_last_name": "WINFIELD",
        "authorized_official_first_name": "NIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-900-4621",
        "authorized_official_credential": "QMHS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255059960",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033837737",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "glovesupboxinggym@gmail.com",
            "affiliation": "N",
            "address_1": "4300 E Broad St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432131243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Eugene Glover, P.T.
• Samantha Glover
• Sharda' Glover
• Susan Glover
• Willie C Glover, PH.D.
• Stefanie Gloyd
• Bryan Glueck, AA
• Gina Glynn
• GM Home Health Care LLC
• GMC Quality Care LLC

• Mental Health Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.