KINDRED SPIRIT BEHAVIORAL HEALTH – Community/Behavioral Health Agency, NPI 1093475899

KINDRED SPIRIT BEHAVIORAL HEALTH is a healthcare provider. based in Copley, Ohio. specializing in Community/Behavioral Health Agency. The NPI Number for KINDRED SPIRIT BEHAVIORAL HEALTH is 1093475899

Main info

Organization
Name
KINDRED SPIRIT BEHAVIORAL HEALTH
NPI
1093475899
Phone
(330) 127-6160
Address
PO BOX 4036
Authorized Official
DR. TANIA S LODGE PSYCHOLOGIST/DIRECTOR PHD
Enumeration Date
21 December 2021
Last Update Date
1 March 2022

Contacts

Secure Messaging
tanialodge@kindred-spirit-behaviora.kno2fy.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:4State licenses:0Other namesUpdated within 12 months

Provider Addresses for KINDRED SPIRIT BEHAVIORAL HEALTH

  • PO BOX 4036

    COPLEY, OH 443210036

    Phone: (330) 127-6160

    Type: Mailing

  • 3618 W MARKET ST STE E15

    FAIRLAWN, OH 443332425

    Phone: (330) 271-6160

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20251212000321OClinic/Group PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44321)

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Reviews

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Frequently asked questions

How is KINDRED SPIRIT BEHAVIORAL HEALTH identified in CMS data?
CMS-hosted NPPES data lists KINDRED SPIRIT BEHAVIORAL HEALTH with NPI 1093475899.
Is KINDRED SPIRIT BEHAVIORAL HEALTH listed as active for patients and plans?
The listing shows KINDRED SPIRIT BEHAVIORAL HEALTH as active in the NPI system.
What taxonomy line describes KINDRED SPIRIT BEHAVIORAL HEALTH?
For research purposes, treat KINDRED SPIRIT BEHAVIORAL HEALTH as Community/Behavioral Health Agency in this dataset. Clinical services aligned with this taxonomy classification.
Where is KINDRED SPIRIT BEHAVIORAL HEALTH based?
KINDRED SPIRIT BEHAVIORAL HEALTH is tied to Copley, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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