|
| |
|
431 Ohio Pike Ste 214n Cincinnati OH 45255-3629 | |
| (513) 655-6911 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 431 Ohio Pike Ste 214n, Cincinnati, Ohio |
| Authorized Official Name and Position | Amanda Friedman (OWNER) |
| Authorized Official Contact | 5136556101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
431 Ohio Pike Ste 214n Cincinnati OH 45255-3629 Ph: (513) 655-6911 | 431 Ohio Pike Ste 214n Cincinnati OH 45255-3629 Ph: (513) 655-6911 |
| NPI Number | 1023590205 |
|---|---|
| Provider Enumeration Date | 09/04/2018 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/09/2022 |
| Medicare PECOS PAC ID | 5890235899 |
|---|---|
| Medicare Enrollment ID | O20240905000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023590205 | NPI | - | NPPES |
| 1740659820 | Medicaid | OH | |
| 1427520287 | Medicaid | OH | |
| 1639824402 | Medicaid | OH | |
| 1760909642 | Medicaid | OH | |
| 1780130997 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Ohio) | Primary |
| Provider Name | Amanda Friedman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780130997 PECOS PAC ID: 0547639981 Enrollment ID: I20240905000673 |
Purposed Journey Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11578 Norbourne Dr, Cincinnati, OH 45240 Phone: 513-478-9321 | |
Elite Supportive Living Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 954 W North Bend Rd Ste 304b, Cincinnati, OH 45224 Phone: 513-607-0384 | |
Lisa M Lyall Phd Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8622 Winton Rd, Suite C, Cincinnati, OH 45231 Phone: 513-521-0500 Fax: 513-521-5010 | |
Rodney E. Vivian Md Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8000 5 Mile Rd, 240, Cincinnati, OH 45230 Phone: 513-232-3070 Fax: 513-232-5794 | |
Greater Cincinnati Behavioral Neuroscience Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5240 E Galbraith Road, Cincinnati, OH 45236 Phone: 513-745-5000 Fax: 513-791-7800 |