Individual provider Active NPI

Amanda K Richmond

  • Addiction (Substance Use Disorder) Counselor
  • Groveport, OH
National Provider Identifier
1285503680
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCAPRE.195423 Issued in OH
Practice address
6020 Groveport Rd
Groveport, OH 43125-1005
Phone
(614) 567-6274
Fax
(855) 604-0927
NPI assigned
Nov 3, 2025
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCAPRE.195423 OH Primary
Peer Specialist 175T00000X APS.006910 OH

Addresses

Primary practice location

6020 Groveport Rd
Groveport, OH 43125-1005

Mailing address

211 S 5TH St
Columbus, OH 43215-5203
Phone (614) 567-6274

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
CDCAPRE.195423OHMDAddiction (Substance Use Disorder) Counselor
APS.006910OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom to Recover Counseling & Treatment Center LLC CurrentSince Nov 9, 2025 Accepting new patients
Freedom to Recover Counseling & Treatment Center LLC Multi-Specialty CurrentSince Nov 9, 2025 Accepting new patients
Forward Health LLC PastSince Apr 1, 2024 Accepting new patients
Forward Health LLC PastSince Jun 1, 2021 Accepting new patients

Locations

1453 E Main St
Columbus, OH 43205
Phone (614) 462-0236

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1285503680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S 5TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155203",
            "telephone_number": "614-567-6274",
            "fax_number": "855-604-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 GROVEPORT RD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251005",
            "telephone_number": "614-567-6274",
            "fax_number": "855-604-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "AMANDA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCAPRE.195423",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.006910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveport, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.