Organization Active NPI

Make Me Over Wholistic Health and Stress Management Cent LLC

  • Health Service Clinic/Center
  • Blue Ash, OH
National Provider Identifier
1831826817
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Pamela Jean Jenkins, MSW, LSW, LMTNPI 1982144390
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1982144390MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.