NPIMap

Organization Active NPI

Freya Enterprise LLC

Doing business as Mindful Healing Center

  • Children's Substance Abuse Rehabilitation Facility
  • Middletown, OH
National Provider Identifier
1629673900
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
FREYA ENTERPRISE LLC
Doing business as
Mindful Healing Center
Practice address
1215 1St Ave
Middletown, OH 45044-4117
Phone
(513) 623-9825
NPI assigned
Dec 3, 2020
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Erica NortonNPI 1306414149
Title
Business Owner
Phone
(513) 615-9624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

1215 1St Ave
Middletown, OH 45044-4117

Mailing address

1215 1St Ave
Middletown, OH 45044-4117
Phone (513) 623-9825

Other practice location 1

3995 Hudson Ave
South Lebanon, OH 45065-1047
Phone (513) 623-9825

Other identifiers 1

IdentifierTypeStateIssuer
0317522MedicaidOH

Other names 1

  • Mindful Healing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220526002683 OH Part B Supplier - Clinic/Group Practice 4587042874 Receives reassigned benefits from 2 practitioners
Practice locations: Middletown, OH

National Provider Directory

National Provider Directory
Tax ID family
Freya Enterprise LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1215 1st Ave
Middletown, OH 45044
Phone (513) 849-2081

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1629673900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 1ST AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444117",
            "telephone_number": "513-623-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 1ST AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444117",
            "telephone_number": "513-623-9825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3995 Hudson Ave",
            "address_purpose": "LOCATION",
            "city": "South Lebanon",
            "state": "OH",
            "postal_code": "450651047",
            "country_code": "US",
            "telephone_number": "513-623-9825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREYA ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "513-615-9624"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0317522",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Healing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindful Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.