Organization Active NPI

Pivot Mental Health & Wellness LLC

  • Mental Health Counselor
  • Fremont, OH
National Provider Identifier
1730954207
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PIVOT MENTAL HEALTH & WELLNESS LLC
Practice address
1700 River St Ste a
Fremont, OH 43420-3586
Phone
(419) 658-9989
NPI assigned
Nov 15, 2023
Last updated
Mar 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Katrina WaltonNPI 1275137069
Title
Owner
Phone
(216) 659-1467

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1700 River St Ste a
Fremont, OH 43420-3586

Mailing address

1700 River St Ste a
Fremont, OH 43420-3586

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250325002502 OH Part B Supplier - Clinic/Group Practice 1153844733 Receives reassigned benefits from 1 practitioner
Practice locations: Fremont, OH

National Provider Directory

National Provider Directory

Locations

1700 River St
Fremont, OH 43420

1700 River St
Ste A
Fremont, OH 43420
Phone (419) 658-9989

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1730954207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RIVER ST STE A",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 RIVER ST STE A",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203586",
            "telephone_number": "419-658-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOT MENTAL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-659-1467"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.