Organization Active NPI

Adam Individual Recovery, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
National Provider Identifier
1255159646
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
ADAM INDIVIDUAL RECOVERY, LLC
Practice address
3128 E 17TH Ave Ste L
Columbus, OH 43219-2300
Phone
(614) 206-8165
Fax
(614) 532-5219
NPI assigned
Oct 2, 2024
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Lisa Adams
Title
Ceo
Phone
(614) 206-8165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

3128 E 17TH Ave Ste L
Columbus, OH 43219-2300

Mailing address

3128 E 17TH Ave
Columbus, OH 43219-2300
Phone (614) 206-8165

National Provider Directory

National Provider Directory

Locations

3128 E 17th Ave
Columbus, OH 43219

3128 E 17th Ave
Ste L
Columbus, OH 43219
Phone (614) 206-8165

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1255159646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 E 17TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192300",
            "telephone_number": "614-206-8165",
            "fax_number": "614-532-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 E 17TH AVE STE L",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192300",
            "telephone_number": "614-206-8165",
            "fax_number": "614-532-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM INDIVIDUAL RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-206-8165"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "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 Oct 2, 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.

Verify at the official NPI Registry.