Healthcare Provider Details

I. General information

NPI: 1306735410
Provider Name (Legal Business Name): HYPE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/02/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 VINE ST
CINCINNATI OH
45202-2425
US

IV. Provider business mailing address

1080 NITMITZVIEW DR SUITE 200
CINCINNATI OH
45230-0042
US

V. Phone/Fax

Practice location:
  • Phone: 423-904-5638
  • Fax:
Mailing address:
  • Phone: 423-904-5638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS KARISSA JANAY MARSHALL
Title or Position: FOUNDER
Credential: IMFT
Phone: 423-904-5638