Active NPI
Push for Recovery, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Columbus, OH
National Provider Identifier
1336753466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- PUSH FOR RECOVERY, LLC
- Practice address
- 3880 Clime Road
Building 2/Suite a
Columbus, OH 43228-3532 - Phone
- (614) 507-0713
- NPI assigned
- Sep 5, 2020
- Last updated
- Sep 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Fannin
- Title
- Owner
- Phone
- (614) 507-0713
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
3880 Clime Road
Building 2/Suite a
Columbus, OH 43228-3532
Mailing address
5944 Epernay Way
Galloway, OH 43119-8588
Phone (614) 507-0713
Other names 1
- Fannin Consulting Services & Associates, LLC
National Provider Directory
National Provider DirectoryLocations
3880 Clime Rd
Bldg 2
Columbus, OH 43228
Phone (614) 507-0713
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Chillicothe, OH
- NPI 1003304965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599264000000",
"number": "1336753466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5944 EPERNAY WAY",
"city": "GALLOWAY",
"state": "OH",
"postal_code": "431198588",
"telephone_number": "614-507-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3880 CLIME ROAD",
"address_2": "BUILDING 2/SUITE A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432283532",
"telephone_number": "614-507-0713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUSH FOR RECOVERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-05",
"last_updated": "2020-09-05",
"certification_date": "2020-09-05",
"status": "A",
"authorized_official_last_name": "FANNIN",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-507-0713"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fannin Consulting Services & Associates, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Sep 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.