Active NPI
Ebba Terefe
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.0031381
- Practice address
- 3901 E Livingston Ave
Columbus, OH 43227-2302 - Phone
- (614) 284-7084
- NPI assigned
- May 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0031381 | OH | Primary |
Addresses
Primary practice location
3901 E Livingston Ave
Columbus, OH 43227-2302
Mailing address
4081 Appleleaf Dr
Columbus, OH 43230-6356
Phone (614) 284-7084
Other practice location 1
924 Eastwind Dr
Westerville, OH 43081-3329
Phone (614) 599-0855
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Kentucky University Medical Department, 2022
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Atcheson St
Columbus, OH 43203-1353
Phone (614) 252-4941
20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Single Specialty | Current | Accepting new patients |
| Community for New Direction | Single Specialty | Current | Accepting new patients |
| Mindsmatter LLC | Single Specialty | Current | Accepting new patients |
| Community for New Direction | Current | Accepting new patients |
Locations
1000 Atcheson St
Columbus, OH 43203
Phone (614) 252-4941
993 E Main St
Columbus, OH 43205
Phone (614) 252-4941
3901 E Livingston Ave
Columbus, OH 43227
Phone (614) 252-4941
20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/cndcolumbus/r4/
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1730230343
Single Specialty
-
- Clinical Social Worker
- Denver, CO
- NPI 1760854442
OH, Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, OH
- NPI 1780385708
Single Specialty
-
- Mental Health Counselor
- Columbus, OH
- NPI 1821584400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1477291979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4081 APPLELEAF DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432306356",
"telephone_number": "614-284-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 E LIVINGSTON AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432272302",
"telephone_number": "614-284-7084"
}
],
"practiceLocations": [
{
"address_1": "924 Eastwind Dr",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430813329",
"country_code": "US",
"telephone_number": "614-599-0855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEREFE",
"first_name": "EBBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-24",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.0031381",
"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 Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.