Individual provider Active NPI

Brent Flory, LPCC

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1407471733
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2303660 Issued in OH
Practice address
20 Northwoods Blvd Ste B1
Columbus, OH 43235-4729
Phone
(614) 210-3815
NPI assigned
Jun 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.2303660 OH Primary

Addresses

Primary practice location

20 Northwoods Blvd Ste B1
Columbus, OH 43235-4729

Mailing address

1491 Polaris Pkwy Ste 44
Columbus, OH 43240-2041
Phone (614) 210-3815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.2303660OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oaktree Group LLC Mental Health Current Accepting new patients

Locations

20 Northwoods Blvd
Ste B1
Columbus, OH 43235
Phone (614) 208-4384

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1407471733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 POLARIS PKWY STE 44",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402041",
            "telephone_number": "614-210-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NORTHWOODS BLVD STE B1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354729",
            "telephone_number": "614-210-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORY",
        "first_name": "BRENT",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-09-05",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.