Healthcare Provider Details

I. General information

NPI: 1396682100
Provider Name (Legal Business Name): NEWHEART MENTAL HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 W WATER ST
OAK HARBOR OH
43449-1332
US

IV. Provider business mailing address

164 W WATER ST
OAK HARBOR OH
43449-1332
US

V. Phone/Fax

Practice location:
  • Phone: 419-855-2707
  • Fax: 419-452-4334
Mailing address:
  • Phone: 419-855-2707
  • Fax: 419-452-4334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE MARIE VELER
Title or Position: OWNER
Credential: APRN
Phone: 419-855-2707