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CARDELIA DENISE SHANKS
NPI 1205695160
Community/Behavioral Health in Columbus, OH

Active since March 14, 2024
2211 LAKE CLUB DR, COLUMBUS, OH 43232(614) 704-5224(614) 515-2693 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cardelia Denise Shanks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARDELIA DENISE SHANKS (NPI 1205695160) is an individual community/behavioral health provider in Columbus, Ohio and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1205695160
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameCARDELIA DENISE SHANKS
Location Address2211 LAKE CLUB DRColumbus, OH 43232-3204
Mailing Address900 S Washington Ave Apt BColumbus, OH 43206-2350 · (220) 228-1386
Phone(614) 704-5224
Fax(614) 515-2693
Sole ProprietorYes
Enumeration DateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1205695160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2211 LAKE CLUB DR, Columbus, OH 43232
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN EDWARD CHAPPELL
Behavior Technician
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 488-1083
KELON BROADUS
Health and Wellness Coach
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 704-5224
JALAYA LADAY MURPHY
Community Health Worker
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 816-4556
KEELON WILLIS
Counselor (Mental Health)
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 704-5224
FRANK BROWN QMHS
Counselor (Mental Health)
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 488-1083
JASON DAMOND BURTON JR.
Case Manager/Care Coordinator
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 704-5224
DENZELL M MATLOCK SR.
Health and Wellness Coach
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 816-4556
JOSEPH SPEIGHTS
Community Health Worker
2211 LAKE CLUB DR
COLUMBUS, OH 43232
Franklin County (614) 805-2995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cardelia Shanks's NPI number?

The NPI number for Cardelia Shanks is 1205695160. It was assigned to this individual provider in the NPPES registry on March 14, 2024.

Where is Cardelia Shanks located?

Cardelia Shanks practices at 2211 Lake Club Dr, Columbus, OH 43232. The listed phone number is (614) 704-5224.

What is Cardelia Shanks's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Cardelia Shanks was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.