Timothy James Brinnon, CDCA CPRS QMHS

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

186978 Issued in OH

Practice address

1021 Checkrein Ave
Columbus, OH 43229-1106

Phone

(614) 844-3800

NPI assigned

Apr 2, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Decoach Team LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cincinnati, OH
  • NPI 1366992224

  Single Specialty

  NPD
• Decoach Team LLC

  • Adult Mental Health Clinic/Center
  • Cincinnati, OH
  • NPI 1578037552
  NPD (past)

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1427800754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 CHECKREIN AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291106",
            "telephone_number": "614-844-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 CHECKREIN AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291106",
            "telephone_number": "614-844-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 S Patterson Blvd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454022624",
            "country_code": "US",
            "telephone_number": "937-966-4673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7373 Dayton Springfield Rd",
            "address_purpose": "LOCATION",
            "city": "Enon",
            "state": "OH",
            "postal_code": "453231462",
            "country_code": "US",
            "telephone_number": "937-862-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINNON",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "credential": "CDCA CPRS QMHS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "186978",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.005080",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "186978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farah Wadia Brink, MD
• Beverly Marie Brinkley
• Steven Maurice Brinkley
• Georgia Marie Brinkman
• Ryan Brinn, M.D.
• Natasha Briones, RN
• Kristina Brionez
• Amber Brisco
• Faith M Briscoe
• Thomas J Brisky

• Behavior Technician in Columbus, OH
• Providers in Columbus, OH by specialty
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.