Active NPI
Tyrone Martin, CDCA, PRS
- Addiction (Substance Use Disorder) Counselor
- Groveport, OH
National Provider Identifier
1215866702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.194854
- Practice address
- 6020 Groveport Rd
Groveport, OH 43125-1005 - Phone
- (614) 567-6274
- Fax
- (855) 604-0927
- NPI assigned
- May 19, 2026
- Last updated
- Jul 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.194854 | OH | Primary |
| Peer Specialist | 175T00000X | APS.005867 | OH |
Addresses
Primary practice location
6020 Groveport Rd
Groveport, OH 43125-1005
Mailing address
211 S 5TH St
Columbus, OH 43215-5203
Phone (614) 567-6274
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 |
|---|---|---|---|
| CDCA.194854 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| APS.005867 | OH | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forward Health LLC | Past | Accepting new patients | |
| Forward Health LLC | Past | Accepting new patients | |
| Full Circle Recovery of Circleville | Past | Accepting new patients | |
| Full Circle Recovery of Circleville | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/hopevalleyrecovery/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1073366100
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Columbus, OH
- NPI 1740858182
-
dba Hope Valley Recovery
- Community/Behavioral Health Agency
- Circleville, OH
- NPI 1861137408
-
dba Hope Valley Recovery
- Substance Use Disorder Rehabilitation Clinic/Center
- Circleville, OH
- NPI 1922607266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1215866702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 S 5TH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155203",
"telephone_number": "614-567-6274",
"fax_number": "855-604-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 GROVEPORT RD",
"city": "GROVEPORT",
"state": "OH",
"postal_code": "431251005",
"telephone_number": "614-567-6274",
"fax_number": "855-604-0927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TYRONE",
"credential": "CDCA, PRS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-19",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.194854",
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.005867",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Groveport, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.