Phoenix Mental Health – Community/Behavioral Health Agency, NPI 1336654854
Community/Behavioral Health Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Phoenix Mental Health
221 W Emmitt Ave # 1
Waverly, OH 456901005
Phone: (740) 835-4054
Type: Location
905 N Main St
Findlay, OH 458403670
Phone: (567) 525-4100
Type: Location
10 Myrtle Ave
Gallipolis, OH 456319772
Phone: (740) 208-7462
Type: Location
701 Hildreth Ln
Marietta, OH 457501768
Phone: (740) 371-7194
Type: Location
188 W Hebble Ave
Fairborn, OH 453244960
Phone: (937) 754-5911
Type: Location
757 Columbus Ave
Lebanon, OH 450361607
Phone: (513) 836-8230
Type: Location
11201 Shaker Blvd Ste 102
Cleveland, OH 441043833
Phone: (216) 758-4120
Type: Location
111 W Water St
Chillicothe, OH 456012452
Phone: (740) 851-6493
Type: Location
1605 11th St
Portsmouth, OH 456624525
Phone: (740) 340-1427
Type: Location
7211 N Main St
Dayton, OH 454152566
Phone: (937) 791-1427
Type: Location
49 Johnson Rd
THE PLAINS, OH 457801146
Phone: (740) 764-4529
Type: Location
9711 E Pike Rd Rm 104
Cambridge, OH 437258936
Phone: (740) 825-8543
Type: Location
126 N Cross St
West Union, OH 456931209
Phone: (740) 340-1460
Type: Location
53 W Main St
Xenia, OH 453852979
Phone: (937) 971-2350
Type: Location
399 Lincoln Park Dr Ste A
New Lexington, OH 437641078
Phone: (740) 960-0380
Type: Location
3044 Columbus Lancaster Rd NW
Lancaster, OH 431308125
Phone: (740) 883-9300
Type: Location
31500 Chieftain Dr Unit Bc
Logan, OH 431388421
Phone: (740) 270-3286
Type: Location
1235 W Market St
Lima, OH 458052728
Phone: (567) 289-6060
Type: Location
1404 N High St
Hillsboro, OH 451338692
Phone: (740) 400-0411
Type: Location
151 S Kennebec Ave
McConnelsville, OH 437561211
Phone: (740) 960-0380
Type: Location
3012 GLENMORE AVE STE 104
CINCINNATI, OH 452382258
Phone: (740) 858-1659
Fax: (740) 876-9213
Type: Location
303, Offnere Street, Portsmouth, Scioto County, Ohio, 45662, United States
PORTSMOUTH, OH 456624655
Phone: (740) 876-9369
Fax: (740) 876-9213
Type: Mailing
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: 2026-01-06
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20260106003177 | O | Clinic/Group Practice | OH | TBD |
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.
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 45690)
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Reviews
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