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AMAZING GRACE MENTAL WELLNESS CARE
NPI 1972236636
Nurse Practitioner - Psychiatric/Mental Health in Reynoldsburg, OH

Active since July 08, 2022
7664 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068(614) 710-0173(614) 987-4032 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amazing Grace Mental Wellness Care NPPES

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

AMAZING GRACE MENTAL WELLNESS CARE (NPI 1972236636) is a healthcare organization registered as a psychiatric/mental health in Reynoldsburg, Ohio and active in the NPI registry since July 2022. The organization lists Deidre Opoku, Owner/psychiatric Np, as its authorized official.

NPPES Registry Identity

NPI1972236636
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameAMAZING GRACE MENTAL WELLNESS CARE
Location Address7664 SLATE RIDGE BLVDReynoldsburg, OH 43068-8158
Mailing Address7664 Slate Ridge BlvdReynoldsburg, OH 43068-8158 · (614) 710-0173 · Fax (614) 987-4032
Phone(614) 710-0173
Fax(614) 987-4032
Organization SubpartNo
Authorized OfficialDeidre OpokuOwner/psychiatric Np · (614) 710-0173
Enumeration DateJuly 8, 2022
NPPES CertifiedJuly 8, 2022
✔ NPI 1972236636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
7664 SLATE RIDGE BLVD, Reynoldsburg, OH 43068
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amazing Grace Mental Wellness Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Amazing Grace Mental Wellness Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Deidre Opoku, MSN, CNP, PMHNP-BC
Nurse Practitioner
NPI 1598041287
7664 SLATE RIDGE BLVD
Reynoldsburg, OH 43068
(614) 710-0173
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Amazing Grace Mental Wellness Care's NPI number?

The NPI number for Amazing Grace Mental Wellness Care is 1972236636. It was assigned to this organization in the NPPES registry on July 8, 2022.

Where is Amazing Grace Mental Wellness Care located?

Amazing Grace Mental Wellness Care is located at 7664 Slate Ridge Blvd, Reynoldsburg, OH 43068. The listed phone number is (614) 710-0173.

What is Amazing Grace Mental Wellness Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amazing Grace Mental Wellness Care enrolled in Medicare?

Yes. Amazing Grace Mental Wellness Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amazing Grace Mental Wellness Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Amazing Grace Mental Wellness Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Amazing Grace Mental Wellness Care was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.