Active NPI
Brian Gennett, LCDC II
- Addiction (Substance Use Disorder) Counselor
- Reynoldsburg, OH
National Provider Identifier
1366893760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 141201
- Practice address
- 6434 E Main St
201
Reynoldsburg, OH 43068-7300 - Phone
- (614) 762-2847
- Fax
- (614) 762-2984
- NPI assigned
- Jun 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 141201 | OH | Primary |
Addresses
Primary practice location
6434 E Main St
201
Reynoldsburg, OH 43068-7300
Mailing address
6434 E Main St
201
Reynoldsburg, OH 43068-7300
Phone (614) 762-2847
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
| License | State | Type | Specialty |
|---|---|---|---|
| 141201 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1366893760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6434 E MAIN ST",
"address_2": "201",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430687300",
"telephone_number": "614-762-2847",
"fax_number": "614-762-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6434 E MAIN ST",
"address_2": "201",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430687300",
"telephone_number": "614-762-2847",
"fax_number": "614-762-2984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENNETT",
"first_name": "BRIAN",
"credential": "LCDC II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-27",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "141201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.