Active NPI
Make Me Over Wholistic Health and Stress Management Cent LLC
- Health Service Clinic/Center
- Blue Ash, OH
National Provider Identifier
1831826817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- MAKE ME OVER WHOLISTIC HEALTH AND STRESS MANAGEMENT CENT LLC
- Practice address
- 10979 Reed Hartman Hwy Ste 100
Blue Ash, OH 45242-2857 - Phone
- (513) 888-3198
- NPI assigned
- Aug 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Jean Jenkins, MSW, LSW, LMT
- Title
- Ao
- Phone
- (513) 888-3198
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
10979 Reed Hartman Hwy Ste 100
Blue Ash, OH 45242-2857
Mailing address
10979 Reed Hartman Hwy Ste 100
Blue Ash, OH 45242-2857
Phone (513) 888-3198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982144390 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
10979 Reed Hartman Hwy
Ste 100
Blue Ash, OH 45242
Phone (513) 888-3198
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Cincinnati, OH
- NPI 1982144390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659312000000",
"number": "1831826817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10979 REED HARTMAN HWY STE 100",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452422857",
"telephone_number": "513-888-3198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10979 REED HARTMAN HWY STE 100",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452422857",
"telephone_number": "513-888-3198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAKE ME OVER WHOLISTIC HEALTH AND STRESS MANAGEMENT CENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-01",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "513-888-3198",
"authorized_official_credential": "MSW, LSW, LMT"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982144390",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.