Individual provider Active NPI

Aiden Edward Dunkle, PRS

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
National Provider Identifier
1396608485
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCAPRE196820 Issued in OH
Practice address
815 W Broad St
Columbus, OH 43222-1464
Phone
(614) 717-0822
NPI assigned
Dec 4, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X PRS007034 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCAPRE196820 OH Primary

Addresses

Primary practice location

815 W Broad St
Columbus, OH 43222-1464

Mailing address

815 W Broad St
2ND FL, Ste 200,
Columbus, OH 43222-1464
Phone (614) 717-0822

Other practice location 1

4998 W Broad St Ste 104
Columbus, OH 43228-1647
Phone (614) 754-8051

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
APS.007034OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Health LLC PastSince Jun 1, 2021 Accepting new patients
Forward Health LLC PastSince Apr 1, 2024 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1396608485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W BROAD ST",
            "address_2": "2ND FL, STE 200,",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221464",
            "telephone_number": "614-717-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221464",
            "telephone_number": "614-717-0822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4998 W Broad St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281647",
            "country_code": "US",
            "telephone_number": "614-754-8051",
            "fax_number": "614-754-8051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNKLE",
        "first_name": "AIDEN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-04",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "PRS007034",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCAPRE196820",
            "primary": true
        }
    ],
    "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 19, 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.