Individual provider Active NPI

Chad Corbley, PH.D.

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1487887493
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
987 S High St
Columbus, OH 43206-2527
Phone
(614) 468-8184
NPI assigned
Aug 25, 2009
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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 Primary

Addresses

Primary practice location

987 S High St
Columbus, OH 43206-2527

Mailing address

987 S High St
Columbus, OH 43206-2527
Phone (614) 468-8184

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
I20100512000044 OH Practitioner - Clinical Psychologist 9931237062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Front Street Associates LLCGroup PAC ID 8224386958, 4 clinicians

Practice addresses (Care Compare)

987 S High St
Columbus, OH 43206-2527
Phone (614) 468-8184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Front Street Associates LLC CurrentSince Jul 1, 2018 Accepting new patients

Locations

918 S Front St
Columbus, OH 43206
Phone (614) 445-8277

987 S High St
Columbus, OH 43206
Phone (614) 464-8184

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, 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": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1487887493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062527",
            "telephone_number": "614-468-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062527",
            "telephone_number": "614-468-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBLEY",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.