Individual provider Active NPI

Tanya Morrison, LPPC-S, LICDC

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
National Provider Identifier
1417461658
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCDCIII.161457 Issued in OH
Practice address
290 E Town St
Columbus, OH 43215-4602
Phone
(614) 788-5400
Fax
(614) 788-5500
NPI assigned
Nov 27, 2017
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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 LCDCIII.161457 OH Primary
Professional Counselor 101YP2500X C.1600441 OH

Addresses

Primary practice location

290 E Town St
Columbus, OH 43215-4602

Mailing address

PO Box 7527
Dublin, OH 43017-0727
Phone (614) 788-5400

Other practice location 1

547 E 11th Ave
Columbus, OH 43211-2603
Phone (614) 224-4506 ext. 113

Other identifiers 1

IdentifierTypeStateIssuer
0436827MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240215000638 OH Practitioner - Mental Health Counselor 1658780812 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCDCIII.161457OHMDAddiction (Substance Use Disorder) Counselor
C.1600441OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ohioguidestone CurrentSince Jan 1, 2024 Accepting new patients
Ohioguidestone CurrentSince Jan 1, 2024 Accepting new patients
Ohioguidestone Current Accepting new patients
Ohioguidestone Past Accepting new patients

Locations

202 E Bagley Rd
Berea, OH 44017
Phone (800) 234-2006

434 Eastland Rd
Berea, OH 44017
Phone (440) 260-8327

195 N Grant Ave
Ste 250
Columbus, OH 43215
Phone (440) 260-6408

885 Commerce Dr
Perrysburg, OH 43551
Phone (419) 330-1050

Organizations & group practices 4

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": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1417461658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727",
            "telephone_number": "614-788-5400",
            "fax_number": "614-788-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154602",
            "telephone_number": "614-788-5400",
            "fax_number": "614-788-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "547 E 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432112603",
            "country_code": "US",
            "telephone_number": "614-224-4506 x113",
            "fax_number": "614-291-0118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "TANYA",
        "credential": "LPPC-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.161457",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1600441",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0436827",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.