Active NPI
Adrah Forrest
- Addiction (Substance Use Disorder) Counselor
- Columbus, OH
National Provider Identifier
1174285381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCDCII.161831
- Practice address
- 1547 W Broad St
Columbus, OH 43222-1043 - Phone
- (614) 352-2620
- Fax
- (614) 675-2577
- NPI assigned
- Oct 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDCII.161831 | IN | Primary |
Addresses
Primary practice location
1547 W Broad St
Columbus, OH 43222-1043
Mailing address
1547 W Broad St
Columbus, OH 43222-1043
Phone (614) 352-2620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDCII.161831 | IN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outreach and Crisis Counseling Services | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Outreach and Crisis Counseling Services | Current | Accepting new patients |
Locations
1547 W Broad St
Columbus, OH 43222
Phone (614) 352-2620
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1730803545
Addiction (Substance Use Disorder)
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Columbus, OH
- NPI 1518359819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1174285381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1547 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221043",
"telephone_number": "614-352-2620",
"fax_number": "614-675-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1547 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221043",
"telephone_number": "614-352-2620",
"fax_number": "614-675-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORREST",
"first_name": "ADRAH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-06",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "LCDCII.161831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.