NPIMap

Organization Active NPI

Lutheran Social Services of Central Ohio Inc

Doing business as Health Center at Faith Mission

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
National Provider Identifier
1801317102
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO INC
Doing business as
Health Center at Faith Mission
LSS Health Center
Practice address
245 N Grant Ave
Columbus, OH 43215-2641
Phone
(614) 224-6617
NPI assigned
Jun 28, 2017
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Alyssa HuddlestonNPI 1750884573
Title
Health Center Executive Director
Phone
(614) 224-6617

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
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

245 N Grant Ave
Columbus, OH 43215-2641

Mailing address

1105 Schrock Rd Ste 100
Columbus, OH 43229-1165
Phone (614) 224-0747

Other names 2

  • Health Center at Faith Mission Doing business as
  • LSS Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150720000378 OH Part B Supplier - Clinic/Group Practice 7911895974 Receives reassigned benefits from 18 practitioners
1 other NPI on this enrollment
Practice locations: Columbus, OH
O20170417001801 OH Part A Provider - Federally Qualified Health Center (FQHC) 7911895974 1 other NPI on this enrollment
Practice locations: Columbus, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801317102. Details of each certification follow.

Federally qualified health center certification: CCN 361129

Legal name
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO, INC
Doing business as
LSS HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 13, 2017
Last certification
Apr 13, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 3, 1914 in OH
Enrollment address
245 N Grant Ave
Columbus, OH 43215-2641

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Social Services of Central Ohio Inc2 organizations share this tax ID, including this one
Part of
Lutheran Social Services of Central Ohio Inc

Other organizations with this tax ID 1

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1105 Schrock Rd
Ste 100
Columbus, OH 43229
Phone (614) 228-5200

245 N Grant Ave
Columbus, OH 43215
Phone (614) 224-6617

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michele Nelms Individual Corporate Director Sep 1, 2013
Steve Denunzio Individual Corporate Director Sep 1, 2016
Chad Wolverton Individual Corporate OfficerVP of It Feb 20, 2017
Bradford Signet Individual Corporate Director Sep 1, 2012
Jessica Quinn Individual Corporate Director Mar 7, 2017
Michele Cenci Individual Corporate OfficerVP Development Apr 29, 2013
Mark Voltmann Individual Corporate Director Sep 1, 2012
Beth Sparks Individual Corporate Director Sep 1, 2013
Todd Treon Individual Corporate Director Mar 7, 2017
Bonnie Gerber Individual Corporate Director Sep 1, 2013
Brian Weber Individual Corporate Director Sep 8, 2017
William McKee Individual Corporate Director Sep 1, 2011
Fred Manning Individual Corporate Director Sep 1, 2015
Philip Helser Individual Corporate OfficerCfo Apr 6, 2009
W-2 Managing EmployeeCfo Apr 6, 2009
John Guldig Individual Corporate Director Sep 1, 2011
Pamela Georgiana Individual Corporate Director Feb 8, 2017
Heather Dubbe Individual Corporate OfficerVP of HR Jun 11, 2011
Ronald Kerr Individual Corporate Director Sep 1, 2012
Marty Schwalbe Individual Corporate Director Jun 1, 2013
Betsy Blake Individual General Partnership Interest Sep 1, 2014
Sharon Morris Individual Corporate Director Sep 1, 2013
Deeanne Marlow Individual Corporate Director Sep 1, 2016

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Huntington National BankAshland, OH, CCN 365093 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Nov 29, 1999
Nov 29, 1999

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1801317102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SCHROCK RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291165",
            "telephone_number": "614-224-0747",
            "fax_number": "855-208-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432152641",
            "telephone_number": "614-224-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "HEALTH CENTER EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-224-6617"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Center at Faith Mission",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Center at Faith Mission",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LSS Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.