Alyssa Emani Ideis, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.163937 Issued in OH

Practice address

99 N Brice Rd Ste 320
Columbus, OH 43213-6519

Phone

(614) 759-1176

NPI assigned

Dec 23, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brian E Leve MD Inc

  • Specialist
  • Lancaster, OH
  • NPI 1528006517
  NPD (past)
• Complete Care for Women

  • Obstetrics & Gynecology Physician
  • Columbus, OH
  • NPI 1952917973
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104332378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3676 BRACKNELL FOREST DR",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259160",
            "telephone_number": "440-382-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N BRICE RD STE 320",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432136519",
            "telephone_number": "614-759-1176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 Florencedale Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445052719",
            "country_code": "US",
            "telephone_number": "330-787-9180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDEIS",
        "first_name": "ALYSSA",
        "middle_name": "EMANI",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.163937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHEMICAL DEPENDENCY PROFESSIONALS BOARD",
            "identifier": "CDCA.163937",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ideal Adult Daycare Inc
• Ideal Care Providers
• Ideal Home Health Inc.
• Ideal Medical Supply Inc
• Ideal Medical Supply Inc
• Racheal Idowu
• Sumer Idries, LISW
• Syed Ali Shan Idris, M.D.; MBBS
• Brima Idriss
• Gberrah Roy Idriss, RN

• Addiction (Substance Use Disorder) Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.