Organization Active NPI

My Sister'S Garden

  • Mental Health Counselor
  • Deer Park, OH
National Provider Identifier
1942983291
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MY SISTER'S GARDEN
Practice address
4129 E Galbraith Rd
Deer Park, OH 45236-2417
Phone
(443) 257-6134
NPI assigned
Aug 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Elana Harris, MDNPI 1477699551
Title
Ceo
Phone
(443) 257-6134

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4129 E Galbraith Rd
Deer Park, OH 45236-2417

Mailing address

4129 E Galbraith Rd
Deer Park, OH 45236-2417
Phone (443) 257-6134

National Provider Directory

National Provider Directory
Tax ID family
My Sister'S Garden2 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.

Locations

4129 E Galbraith Rd
Deer Park, OH 45236
Phone (443) 257-6134

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": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1942983291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 E GALBRAITH RD",
            "city": "DEER PARK",
            "state": "OH",
            "postal_code": "452362417",
            "telephone_number": "443-257-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 E GALBRAITH RD",
            "city": "DEER PARK",
            "state": "OH",
            "postal_code": "452362417",
            "telephone_number": "443-257-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SISTER'S GARDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ELANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-257-6134",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.