Tonya Adams, PCC-S

Individual provider Active NPI Professional Counselor · Columbus, OH

NPI 1295034346 · NPPES record last updated Mar 15, 2011

Key facts

NPI
1295034346
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
E0001979-SUPV (OH)
Practice address
899 E Broad St FL 3
Columbus, OH 43205-1156
Phone
(614) 355-8000
Fax
(614) 355-0509
NPI assigned
Mar 15, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Ohio Behavioral Health LLC (19 clinicians)

Practice addresses (Care Compare)

1515 E Broad St
Columbus, OH 43205-1550
Phone (740) 569-5737

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240105003109 OH Practitioner - Mental Health Counselor 9830540673 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
E0001979-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Behavioral Health LLC Current
since Jan 1, 2024
Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients

Locations

1515 E Broad St
Columbus, OH 43205
Phone (614) 251-6941

930 Bethesda Dr
Unit 4
Zanesville, OH 43701
Phone (740) 455-6202

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/midohiobh/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0001979-SUPV OH Yes

Addresses

Primary practice location

899 E Broad St FL 3
Columbus, OH 43205-1156

Mailing address

PO Box 715194
Columbus, OH 43271-5194
Phone (614) 355-8004

Other identifiers

IdentifierTypeStateIssuer
08258MedicaidOH

Other providers in Columbus, OH

All providers in Columbus, OH · Professional Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.