Oliver Gorneleh

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.150767 Issued in OH

Practice address

6400 E Broad St FL 4
Columbus, OH 43213-1505

Phone

(614) 655-3345

NPI assigned

Jun 15, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1114411907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 E BROAD ST FL 4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131505",
            "telephone_number": "614-655-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 E BROAD ST FL 4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131505",
            "telephone_number": "614-655-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNELEH",
        "first_name": "OLIVER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.150767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane L Gorgas, M.D.
• Hallie Gorica, PMHNP
• Gorilla Ventures Corporation Dba Right at Home of Central Ohio (Right at Home of Central Ohio)
• Emily Ann Gorman, D.O.
• Lois Gorman
• Justin Gorr
• Angela Gorrell
• Elisabeth Gorrell
• Heather Gorslin, LPCC
• Abigail Gorsuch

• 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 Jun 15, 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.