Mid-Ohio Behavioral Health LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MID-OHIO BEHAVIORAL HEALTH LLC

Practice address

930 Bethesda Dr
Zanesville, OH 43701-0815

Phone

(740) 569-5737

NPI assigned

Mar 21, 2023

Organization subpart

No

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

Authorized official

Name

Russell I Valentine

Title

Ceo

Phone

(740) 569-5737

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Harp, R.N.

  • Psychiatric/Mental Health Nurse Practitioner
  • Zanesville, OH
  • NPI 1124552443
  NPD
• Nicole N Davis, LSW

  • Clinical Social Worker
  • Cambridge, OH
  • NPI 1114664786
  NPD (past)
• Stacy Poulnott

  • Behavior Technician
  • Newark, OH
  • NPI 1306644554
  NPD (past)

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1982306932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010815",
            "telephone_number": "740-569-5737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Coshocton",
            "state": "OH",
            "postal_code": "438121436",
            "country_code": "US",
            "telephone_number": "740-201-2324",
            "fax_number": "740-630-0408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2112 Cherry Valley Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430551323",
            "country_code": "US",
            "telephone_number": "740-281-1200",
            "fax_number": "740-281-1202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2090 North Ave",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437258804",
            "country_code": "US",
            "telephone_number": "740-201-2522",
            "fax_number": "740-630-0811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432051550",
            "country_code": "US",
            "telephone_number": "614-437-9797",
            "fax_number": "614-437-2623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID-OHIO BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-569-5737"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinah F Meyer, PHD
• Kimber Meyers, LMT
• Kimberly Meyers, FNP-C
• Mid Ohio Neuro Ophthalmology and Neuro Otology Inc
• Mid-Ohio Behavioral Health LLC
• Gary Mildenstein, CDCA
• Kevin Miller, M.D.
• Melissa Lynn Miller
• Rachel Marie Miller
• Teresa L Miller, LPN

• Substance Use Disorder Rehabilitation Clinic/Center in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.