OrganizationActive
Black Elephant Wellness Co LLC
NPI 1649125212 · Counselor · Maple Heights, OH
Black Elephant Wellness Co LLC is a Counselor organization in Maple Heights, OH (NPI 1649125212).
Provider details
- NPI number
- 1649125212
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jamila Provitt, Owner(216) 626-7648
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5589 Dunham Rd
Maple Heights, OH 44137-3657
Phone: (216) 626-7648
Street-level locationGet directions
Mailing address
5589 Dunham Rd
Maple Heights, OH 44137-3657
Registry dates
- Enumerated
- 2026-02-28
- Last updated
- 2026-02-28
- Certified
- 2026-02-28
Frequently asked questions
- What is Black Elephant Wellness Co LLC's NPI number?
- Black Elephant Wellness Co LLC's National Provider Identifier (NPI) is 1649125212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Elephant Wellness Co LLC?
- Black Elephant Wellness Co LLC is classified in the NPPES registry as Counselor (Behavioral Health & Social Service Providers).
- Where is Black Elephant Wellness Co LLC located?
- Black Elephant Wellness Co LLC's practice location on file with NPPES is 5589 Dunham Rd, Maple Heights, OH 44137-3657.
- What is Black Elephant Wellness Co LLC's phone number?
- The practice phone number listed in the NPPES registry for Black Elephant Wellness Co LLC is (216) 626-7648.
- Who is the authorized official for Black Elephant Wellness Co LLC?
- The authorized official listed on Black Elephant Wellness Co LLC's NPPES record is Jamila Provitt, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Elephant Wellness Co LLC's NPI active?
- Yes — Black Elephant Wellness Co LLC's NPI (1649125212) is active in the NPPES registry as of the last update on 2026-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.