SOUTHEAST, INC – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1932169497
Mental Health Clinic/Center (Including Community Mental Health Center)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOUTHEAST, INC
243 S Main St
Cadiz, OH 439071193
Phone: (740) 942-4905
Fax: (740) 942-4935
Type: Location
611 High St NW
Carrollton, OH 446151117
Phone: (330) 627-3954
Fax: (330) 627-3984
Type: Location
720 E Broad St
Columbus, OH 432153988
Phone: (614) 225-0980
Fax: (614) 221-0991
Type: Location
1455 S 4th St
Columbus, OH 432071011
Phone: (614) 444-0800
Fax: (614) 444-1036
Type: Location
3770 N High St
Columbus, OH 432143525
Phone: (614) 294-7117
Fax: (614) 294-7443
Type: Location
1699 S High St
Columbus, OH 432071864
Phone: (614) 443-0141
Fax: (614) 445-3340
Type: Location
1989 W Broad St
Columbus, OH 432231101
Phone: (614) 278-0170
Fax: (614) 278-7578
Type: Location
524 W Broad St Ste B
Columbus, OH 432152775
Phone: (614) 224-4850
Fax: (614) 224-4834
Type: Location
824 Bowtown Rd
Delaware, OH 430159661
Phone: (740) 695-7795
Fax: (740) 362-4411
Type: Location
301 Walnut St
Martins Ferry, OH 439351429
Phone: (740) 633-2161
Fax: (740) 633-1681
Type: Location
950 Meadow Dr Ste A
Mount Gilead, OH 433381389
Phone: (419) 949-2000
Fax: (419) 751-7322
Type: Location
344 W High Ave
New Philadelphia, OH 446632152
Phone: (330) 339-7850
Fax: (330) 339-7844
Type: Location
68353 Bannock Rd
Saint Clairsville, OH 439509736
Phone: (740) 695-9344
Fax: (740) 695-7787
Type: Location
3795 Leona Ave
Shadyside, OH 439471367
Phone: (614) 225-0991
Type: Location
37990 Old Airport Rd
Woodsfield, OH 437939247
Phone: (740) 472-0753
Fax: (740) 472-0130
Type: Location
16, West Long Street, High Street Corridor, Columbus, Franklin, Ohio, 43215, United States
COLUMBUS, OH 432152815
Phone: (614) 225-0980
Fax: (614) 225-0986
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: 2004-12-07
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 |
|---|---|---|---|---|
| O20041207000632 | 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 43907)
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