Individual provider Active NPI

Ahmed Mohamed Jama

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
National Provider Identifier
1396190542
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.193464 Issued in OH
Practice address
3121 W Broad St
Columbus, OH 43204-1306
Phone
(614) 869-2002
Fax
(614) 792-6240
NPI assigned
Apr 25, 2016
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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 CDCA.193464 OH Primary
Peer Specialist 175T00000X APS.006591 OH

Addresses

Primary practice location

3121 W Broad St
Columbus, OH 43204-1306

Mailing address

7761 Donwick Dr
Reynoldsburg, OH 43068-3176
Phone (614) 377-9146

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
CDCA.193464OHMDAddiction (Substance Use Disorder) Counselor
APS.006591OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands of Faith Transportation LLC CurrentSince Aug 10, 2025 Accepting new patients
Stand by Me Adult Day Care Past Accepting new patients

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, 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": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1396190542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7761 DONWICK DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683176",
            "telephone_number": "614-377-9146",
            "fax_number": "614-792-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041306",
            "telephone_number": "614-869-2002",
            "fax_number": "614-792-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMA",
        "first_name": "AHMED",
        "middle_name": "MOHAMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.193464",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.006591",
            "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 Aug 27, 2025; 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.