The Koko Bella Permanent Makeup and Lash Bar

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE KOKO BELLA PERMANENT MAKEUP AND LASH BAR

Doing business as

Koko Bella Diamonds

Practice address

1911 Baltimore Reynoldsburg Rd
Reynoldsburg, OH 43068-8105

Phone

(614) 452-9821

NPI assigned

Jun 12, 2025

Last updated

Aug 11, 2025By 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

Carneka J GreenNPI 1811603798

Title

Certified Peer Recovery Supporter

Phone

(330) 371-6698

Specialties & licenses 4

Addresses

Other names 1

• Koko Bella Diamonds Doing business as

Locations

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.

• Carneka Green

  • Peer Specialist
  • Blacklick, OH
  • NPI 1811603798
  NPD Authorized official

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1801781331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 KINGSMEADOW LN",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430049204",
            "telephone_number": "330-371-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 BALTIMORE REYNOLDSBURG RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688105",
            "telephone_number": "614-452-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KOKO BELLA PERMANENT MAKEUP AND LASH BAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-10",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CARNEKA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CERTIFIED PEER RECOVERY SUPPORTER",
        "authorized_official_telephone_number": "330-371-6698"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koko Bella Diamonds",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Koko Bella Diamonds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henock W Tequabo
• Melodie Terman, LPC
• Shae Testa, MSN, APRN, FNP-C
• The Central Ohio Health & Wellness Center, Inc.
• The Inn at Summit Trail (Inn at Summit Trail)
• The Kroger Co (Kroger Pharmacy)
• The Kroger Co (Kroger Pharamcy #01600232)
• The Phoenix's Nest Peer Recovery Support Services LLC
• Deanna Theel
• Brianna Thomas

• Community/Behavioral Health Agency in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.