NPIMap

Organization Active NPI

Amazing Grace Counseling and Addiction Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
National Provider Identifier
1871354928
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AMAZING GRACE COUNSELING AND ADDICTION SERVICES LLC
Practice address
5670 Winneste Ave
Cincinnati, OH 45232-1270
Phone
(513) 884-0917
NPI assigned
Jan 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Deondra MillsNPI 1548728785
Title
Owner
Phone
(513) 884-0917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5670 Winneste Ave
Cincinnati, OH 45232-1270

Mailing address

5670 Winneste Ave
Cincinnati, OH 45232-1270
Phone (513) 884-0917

National Provider Directory

National Provider Directory
Tax ID family
Amazing Grace Counseling and Addiction Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1871354928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 WINNESTE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452321270",
            "telephone_number": "513-884-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 WINNESTE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452321270",
            "telephone_number": "513-884-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE COUNSELING AND ADDICTION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "DEONDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-884-0917"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.