Organization Active NPI

Mental Cleanse Therapeutic & Consulting Services LLC

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1902477896
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MENTAL CLEANSE THERAPEUTIC & CONSULTING SERVICES LLC
Practice address
430 Reading Rd Ste 300
Cincinnati, OH 45202-1460
Phone
(513) 213-0056
NPI assigned
Jul 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Courtni Wright, LISWNPI 1528577061
Title
Owner/ Authorized Official
Phone
(513) 213-0056

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

430 Reading Rd Ste 300
Cincinnati, OH 45202-1460

Mailing address

2692 Madison Rd Ste N1
Cincinnati, OH 45208-1320
Phone (513) 213-0056

Other names 1

  • Mental Cleanse Therapeutic & Counseling Services, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210928003147 OH Part B Supplier - Clinic/Group Practice 2264839679 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

1118 Pendleton St
Ste 412
Cincinnati, OH 45202
Phone (513) 213-0056

2692 Madison Rd
Ste N1
Cincinnati, OH 45208
Phone (513) 739-1944

Practitioners & affiliated clinicians

Practitioners 3

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": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1902477896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2692 MADISON RD STE N1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081320",
            "telephone_number": "513-213-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 READING RD STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021460",
            "telephone_number": "513-213-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL CLEANSE THERAPEUTIC & CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "COURTNI",
        "authorized_official_title_or_position": "OWNER/ AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "513-213-0056",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Cleanse Therapeutic & Counseling Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 13, 2023; 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.