NPIMap

Organization Active NPI

Mid-Ohio Behavioral Health LLC

  • Mental Health Counselor
  • Zanesville, OH
National Provider Identifier
1578936746
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MID-OHIO BEHAVIORAL HEALTH LLC
Practice address
930 Bethesda Dr Unit 4
Zanesville, OH 43701-0815
Phone
(740) 569-5737
Fax
(740) 569-5716
NPI assigned
Nov 9, 2015
Last updated
May 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Mr. Russ Valentine
Title
Ceo
Phone
(740) 260-2068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

930 Bethesda Dr Unit 4
Zanesville, OH 43701-0815

Mailing address

7300 Stone Gate Dr
New Albany, OH 43054-8193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170327002096 OH Part B Supplier - Clinic/Group Practice 7214212695 Receives reassigned benefits from 32 practitioners
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

1225 Woodlawn Ave
Cambridge, OH 43725

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/midohiobh/r4/

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1578936746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 STONE GATE DR",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BETHESDA DR UNIT 4",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010815",
            "telephone_number": "740-569-5737",
            "fax_number": "740-569-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-OHIO BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2022-05-26",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-260-2068",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.