Organization Active NPI

New Enlightenment Behavioral Services Inc

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1942061403
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NEW ENLIGHTENMENT BEHAVIORAL SERVICES INC
Practice address
250 E 5TH St FL 15
Cincinnati, OH 45202-4119
Phone
(513) 952-9595
Fax
(631) 205-5394
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Richard Girard-DomenaNPI 1326369257
Title
Owner
Phone
(631) 504-2102

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

250 E 5TH St FL 15
Cincinnati, OH 45202-4119

Mailing address

PO Box 177
Northampton, MA 01061-0177
Phone (631) 504-2102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240313000201 NY Part B Supplier - Clinic/Group Practice 7618313685 Receives reassigned benefits from 1 practitioner
Practice locations: Saint James, NY

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1942061403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010610177",
            "telephone_number": "631-504-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 5TH ST FL 15",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452024119",
            "telephone_number": "513-952-9595",
            "fax_number": "631-205-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENLIGHTENMENT BEHAVIORAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "GIRARD-DOMENA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-504-2102"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "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 Apr 25, 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.