The Open Table Cincy

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

THE OPEN TABLE CINCY

Practice address

1213 Tennessee Ave Ste 204
Cincinnati, OH 45229-1044

Phone

(513) 518-5596

NPI assigned

Dec 9, 2024

Last updated

Jan 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Collins, LPCCNPI 1962918029

Title

Ceo

Phone

(513) 518-5596

Specialties & licenses 3

Addresses

Tax ID family

The Open Table Cincy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The Open Table Cincy

  • Peer Specialist
  • Cincinnati, OH
  • NPI 1184583106
  NPD tax ID

Practitioners 1

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.

• Michael Robert Andre Collins, MS, LPCC LICDC

  • Mental Health Counselor
  • Cincinnati, OH
  • NPI 1962918029
  Authorized official Same address or phone

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1689480352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432 NORTHCREST LN APT 3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452476415",
            "telephone_number": "513-900-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 TENNESSEE AVE STE 204",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291044",
            "telephone_number": "513-518-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPEN TABLE CINCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-518-5596",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peer Specialist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.