NPIMap

Organization Active NPI

Community Behavioral Health Inc.

  • Mental Health Counselor
  • Fort Thomas, KY
National Provider Identifier
1710691795
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COMMUNITY BEHAVIORAL HEALTH INC.
Practice address
1501 Alexandria Pike Ste 104
Fort Thomas, KY 41075-2561
Phone
(513) 785-4785
NPI assigned
Jan 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Brian Krause
Title
Cfo
Phone
(513) 785-4054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1501 Alexandria Pike Ste 104
Fort Thomas, KY 41075-2561

Mailing address

230 Ludlow St
Hamilton, OH 45011-2903
Phone (513) 785-4785

Other names 1

  • Foundations Counseling Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230309001120 KY Part B Supplier - Clinic/Group Practice 0143290726 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Thomas, KY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Community Behavioral Health Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

501 Park Ave
Hamilton, OH 45013
Phone (513) 867-0676

7900 Cox Rd
West Chester, OH 45069
Phone (513) 805-2873

Practitioners & affiliated clinicians

Practitioners 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1710691795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LUDLOW ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112903",
            "telephone_number": "513-785-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ALEXANDRIA PIKE STE 104",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752561",
            "telephone_number": "513-785-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BEHAVIORAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-785-4054"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundations Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Thomas, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.