Individual provider Active NPI

Sam Aubrey Finch, PEER SUPPORT

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
National Provider Identifier
1255993770
Registry record updated Jul 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
00985 Issued in OH
Practice address
5460 Cleveland Ave
Columbus, OH 43231
Phone
(614) 568-8236
Fax
(614) 392-0275
NPI assigned
Jul 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00985 OH Primary

Addresses

Primary practice location

5460 Cleveland Ave
Columbus, OH 43231

Mailing address

5460 Cleveland Ave
Columbus, OH 43231-4005
Phone (614) 568-8236

Other practice location 1

5460 Cleveland Ave
Columbus, OH 43231
Phone (614) 568-8236

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

LicenseStateTypeSpecialty
00985OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562198400000",
    "number": "1255993770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314005",
            "telephone_number": "614-568-8236",
            "fax_number": "614-392-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43231",
            "telephone_number": "614-568-8236",
            "fax_number": "614-392-0275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5460 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43231",
            "country_code": "US",
            "telephone_number": "614-568-8236",
            "fax_number": "614-392-0275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINCH",
        "first_name": "SAM",
        "middle_name": "AUBREY",
        "credential": "PEER SUPPORT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-04",
        "last_updated": "2019-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "00985",
            "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 Jul 4, 2019; 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.