Organization Active NPI

The Cornerstone of Recovery, Inc.

  • Community/Behavioral Health Agency
  • Columbus, OH
National Provider Identifier
1255681805
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
12833 Issued in OH
Legal business name
THE CORNERSTONE OF RECOVERY, INC.
Practice address
5003 Horizons Drive
Suite 110
Columbus, OH 43220
Phone
(614) 889-0000
Fax
(614) 846-1916
NPI assigned
Sep 11, 2012
Organization subpart
Yes
Parent organization
THE CORNERSTONE OF RECOVERY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
Kimberly J Bonta, MSW, LICDC, LSWNPI 1689187833
Title
Director of Ohio Operations
Phone
(614) 889-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 12833 OH Primary

Addresses

Primary practice location

5003 Horizons Drive
Suite 110
Columbus, OH 43220

Mailing address

5003 Horizons Drive
Suite 110
Columbus, OH 43220
Phone (614) 889-0000

Other identifiers 2

IdentifierTypeStateIssuer
12833OtherOHOHIO DEPARTMENT OF ALCOHOL AND DRUG ADDICTION SERVICES
0075958MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone of Recovery2 organizations share this tax ID, including this one
Part of
Cornerstone of Recovery

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5003 Horizons Dr
Ste 110
Columbus, OH 43220
Phone (614) 889-0000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1255681805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 HORIZONS DRIVE",
            "address_2": "SUITE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43220",
            "telephone_number": "614-889-0000",
            "fax_number": "614-846-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 HORIZONS DRIVE",
            "address_2": "SUITE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43220",
            "telephone_number": "614-889-0000",
            "fax_number": "614-846-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CORNERSTONE OF RECOVERY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CORNERSTONE OF RECOVERY, INC.",
        "enumeration_date": "2012-09-11",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "BONTA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF OHIO OPERATIONS",
        "authorized_official_telephone_number": "614-889-0000",
        "authorized_official_credential": "MSW, LICDC, LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "12833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF ALCOHOL AND DRUG ADDICTION SERVICES",
            "identifier": "12833",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075958",
            "state": "OH"
        }
    ],
    "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 25, 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.