Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Open Table Cincy

Organization Peer Specialist · NPI 1689480352

The Open Table Cincy is a Peer Specialist in Cincinnati, Ohio. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

1213 Tennessee Ave Ste 204
Cincinnati, OH 45229-1044
Phone: (513) 518-5596
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1689480352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Collins — Ceo · (513) 518-5596
NPI enumeratedDecember 9, 2024
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address5432 Northcrest Ln Apt 3, Cincinnati, OH 45247-6415

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