Individual provider Active NPI

Ebba Terefe

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1477291979
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0031381 Issued in OH
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

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929002275 OH Practitioner - Nurse Practitioner 2062866601 Reassigns benefits to 2 organizations

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
Community for New DirectionGroup PAC ID 2961868377, 5 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

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

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Single Specialty CurrentSince Nov 9, 2024 Accepting new patients
Community for New Direction Single Specialty CurrentSince Aug 9, 2023 Accepting new patients
Mindsmatter LLC Single Specialty CurrentSince Mar 19, 2023 Accepting new patients
Community for New Direction CurrentSince Mar 24, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.