Organization Active NPI

Safe Place Therapeutics LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1912768953
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SAFE PLACE THERAPEUTICS LLC
Practice address
2131 N Limestone St
Springfield, OH 45503-2676
Phone
(513) 253-2446
NPI assigned
Jan 17, 2024
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Epie L Ajebe, APRN-CNPNPI 1861729071
Title
Aprn-CNP
Phone
(513) 253-2446

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

2131 N Limestone St
Springfield, OH 45503-2676

Mailing address

2131 N Limestone St
Springfield, OH 45503-2676
Phone (513) 253-2446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240329002634 OH Part B Supplier - Clinic/Group Practice 7618315490 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, OH

National Provider Directory

National Provider Directory

Locations

2131 N Limestone St
Springfield, OH 45503
Phone (937) 342-9160

2131 N Limestone St
#M
Springfield, OH 45503
Phone (937) 688-0952

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": "1729123200000",
    "number": "1912768953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 N LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032676",
            "telephone_number": "513-253-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 N LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032676",
            "telephone_number": "513-253-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE PLACE THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "AJEBE",
        "authorized_official_first_name": "EPIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "APRN-CNP",
        "authorized_official_telephone_number": "513-253-2446",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

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