Organization Active NPI

Integrative Health Network LLC

  • Community/Behavioral Health Agency
  • Powell, OH
National Provider Identifier
1891351482
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTEGRATIVE HEALTH NETWORK LLC
Practice address
169 S Liberty St
Powell, OH 43065-7619
Phone
(614) 634-2405
NPI assigned
May 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Jason FoleyNPI 1871008987
Title
Owner
Phone
(614) 634-2405

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

169 S Liberty St
Powell, OH 43065-7619

Mailing address

169 S Liberty St
Powell, OH 43065-7619
Phone (614) 634-2405

Other practice location 1

1620 Fallhaven Dr
Columbus, OH 43235-5908
Phone (614) 634-2153

Other identifiers 1

IdentifierTypeStateIssuer
0255146MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190621000519 OH Part B Supplier - Clinic/Group Practice 2365776556 Receives reassigned benefits from 1 practitioner
Practice locations: Powell, OH

National Provider Directory

National Provider Directory
Tax ID family
Integrative Health Network LLC2 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": "1558224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1891351482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 S LIBERTY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657619",
            "telephone_number": "614-634-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 S LIBERTY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657619",
            "telephone_number": "614-634-2405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Fallhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432355908",
            "country_code": "US",
            "telephone_number": "614-634-2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-19",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-634-2405"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255146",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.