NPIMap

Organization Active NPI

Optum Behavioral Care of Ohio, Inc

Doing business as The Center for Cognitive and Behavioral Therapy of Ohio

  • Counseling Psychologist
  • Columbus, OH
National Provider Identifier
1285400978
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
OPTUM BEHAVIORAL CARE OF OHIO, INC
Doing business as
The Center for Cognitive and Behavioral Therapy of Ohio
Practice address
4624 Sawmill Rd
Columbus, OH 43220-2247
Phone
(614) 459-4490
Fax
(614) 457-3656
NPI assigned
Dec 4, 2023
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Kerry Biscornet
Title
Secretarty
Phone
(608) 854-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

4624 Sawmill Rd
Columbus, OH 43220-2247

Mailing address

11000 Optum Cir
Eden Prairie, MN 55344-2503
Phone (608) 854-2929

Other practice location 1

1100 Beecher Xing N Ste C
Gahanna, OH 43230-4565
Phone (614) 459-4490

Other practice location 2

3055 Kettering Blvd Ste 218
Moraine, OH 45439-1965
Phone (614) 459-4490

Other practice location 3

62 Westerview Dr
Westerville, OH 43081-2682
Phone (614) 459-4490

Other practice location 4

165 W Center St Ste 203
Marion, OH 43302-3741
Phone (614) 456-4490

Other practice location 5

8559 S Mason Montgomery Rd Ste 25
Mason, OH 45040-9381
Phone (614) 459-4490

Other practice location 6

337 E Main St
Lancaster, OH 43130-3845
Phone (614) 459-4490

Other names 1

  • The Center for Cognitive and Behavioral Therapy of Ohio Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240404004119 OH Part B Supplier - Clinic/Group Practice 7719325083 Receives reassigned benefits from 65 practitioners
5 other NPIs on this enrollment
Practice locations: Toledo, OH; Westerville, OH; Perrysburg, OH; Mason, OH; Marysville, OH; Marion, OH; Lancaster, OH; Dublin, OH…

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Optum Behavioral Care of Ohio Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

1 Optum Cir
Eden Prairie, MN 55344
Phone (478) 331-9264

4624 Sawmill Rd
Columbus, OH 43220
Phone (614) 238-0837

1100 Beecher Xing N
Ste C
Gahanna, OH 43230
Phone (614) 933-9118

62 Westerview Dr
Westerville, OH 43081

Practitioners & affiliated clinicians

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1285400978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 OPTUM CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442503",
            "telephone_number": "608-854-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 SAWMILL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202247",
            "telephone_number": "614-459-4490",
            "fax_number": "614-457-3656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Beecher Xing N Ste C",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432304565",
            "country_code": "US",
            "telephone_number": "614-459-4490",
            "fax_number": "614-457-3656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3055 Kettering Blvd Ste 218",
            "address_purpose": "LOCATION",
            "city": "Moraine",
            "state": "OH",
            "postal_code": "454391965",
            "country_code": "US",
            "telephone_number": "614-459-4490",
            "fax_number": "614-457-3656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Westerview Dr",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812682",
            "country_code": "US",
            "telephone_number": "614-459-4490",
            "fax_number": "614-457-3656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 W Center St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433023741",
            "country_code": "US",
            "telephone_number": "614-456-4490",
            "fax_number": "614-457-3656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8559 S Mason Montgomery Rd Ste 25",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450409381",
            "country_code": "US",
            "telephone_number": "614-459-4490",
            "fax_number": "614-457-3656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "337 E Main St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303845",
            "country_code": "US",
            "telephone_number": "614-459-4490",
            "fax_number": "614-457-3656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTUM BEHAVIORAL CARE OF OHIO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "BISCORNET",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "SECRETARTY",
        "authorized_official_telephone_number": "608-854-2929"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Cognitive and Behavioral Therapy of Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.