Heather Kaye Bosley, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.181321 Issued in OH

Practice address

7400 Huntington Park Dr
Columbus, OH 43235-5617

Phone

(614) 378-0744

NPI assigned

Mar 15, 2023

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Buckeye Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1174115034
  NPD (past)
• Buckeye Clinic

  • Addiction Medicine (Family Medicine) Physician
  • Columbus, OH
  • NPI 1366992893
  NPD (past)

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1285335315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7374 E MAIN ST APT 12",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682162",
            "telephone_number": "614-378-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 HUNTINGTON PARK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355617",
            "telephone_number": "614-378-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSLEY",
        "first_name": "HEATHER",
        "middle_name": "KAYE",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.181321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lee Boschulte, CRNP
• Boschulte's Pride II LLC
• Jeffrey Ryan Bose, DNP
• Vanessa Bose, PMHNP
• Tiashieka Lamea Boseman, LISW
• Kenyatta R Bosley
• Douglas Joseph Bosner, OD
• Jonathan Bosold, PHARMD
• Brooke Bossart
• Olivia Grace Bosse, MS, RD, LD

• Addiction (Substance Use Disorder) Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.