Individual provider Active NPI

Mitchell Patterson

  • Social Worker
  • Columbus, OH
National Provider Identifier
1316556913
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2308951 Issued in OH
Practice address
1206 W Broad St
Columbus, OH 43222-1319
Phone
(800) 321-8293
NPI assigned
Jul 29, 2020
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC162815 OH
Social Worker 104100000X S.2308951 OH Primary
Peer Specialist 175T00000X 0001916 OH

Addresses

Primary practice location

1206 W Broad St
Columbus, OH 43222-1319

Mailing address

PO Box 132
Athens, OH 45701-0132
Phone (800) 321-8293

Other practice location 1

20 E Broad St Ste 209
Columbus, OH 43215-5880
Phone (380) 444-6548

Other practice location 2

3901 E Livingston Ave
Columbus, OH 43227-2302
Phone (216) 849-1447

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
LICDC162815OHMDAddiction (Substance Use Disorder) Counselor
S.2308951OHMDSocial Worker
0001916OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Solutions Network Addiction (Substance Use Disorder) Current Accepting new patients

Organizations & group practices 1

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1316556913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457010132",
            "telephone_number": "800-321-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221319",
            "telephone_number": "800-321-8293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 E Broad St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432155880",
            "country_code": "US",
            "telephone_number": "380-444-6548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 E Livingston Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432272302",
            "country_code": "US",
            "telephone_number": "216-849-1447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MITCHELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC162815",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2308951",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "0001916",
            "primary": false
        }
    ],
    "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 Oct 9, 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.