Active NPI
Elijah Mensah
- Behavior Technician
- Mansfield, OH
National Provider Identifier
1891379343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1033 Larchwood Rd
Mansfield, OH 44907-2424 - Phone
- (419) 747-4122
- NPI assigned
- May 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1033 Larchwood Rd
Mansfield, OH 44907-2424
Mailing address
1033 Larchwood Rd
Mansfield, OH 44907-2424
Phone (419) 747-4122
Other practice location 1
525 Metro Pl N Ste 100
Dublin, OH 43017-5343
Phone (855) 289-1722
Other practice location 2
741 Scholl Rd
Mansfield, OH 44907-1571
Phone (419) 756-1717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2910854 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1891379343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 LARCHWOOD RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449072424",
"telephone_number": "419-747-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 LARCHWOOD RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449072424",
"telephone_number": "419-747-4122"
}
],
"practiceLocations": [
{
"address_1": "525 Metro Pl N Ste 100",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430175343",
"country_code": "US",
"telephone_number": "855-289-1722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "741 Scholl Rd",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449071571",
"country_code": "US",
"telephone_number": "419-756-1717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENSAH",
"first_name": "ELIJAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-11",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2910854",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.