Active NPI
Joshua Gill
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1548612286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.0800264.SUPV
- Practice address
- 1670 Upham Dr
Columbus, OH 43210-1250 - Phone
- (614) 293-9560
- Fax
- (614) 293-9561
- NPI assigned
- Jul 6, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 081280 | OH | |
| Clinical Social Worker | 1041C0700X | I.0800264.SUPV | OH | Primary |
Addresses
Primary practice location
1670 Upham Dr
Columbus, OH 43210-1250
Mailing address
1670 Upham Dr
Columbus, OH 43210-1250
Phone (614) 293-9560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081280 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| I.0800264.SUPV | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1548612286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 UPHAM DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101250",
"telephone_number": "614-293-9560",
"fax_number": "614-293-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 UPHAM DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101250",
"telephone_number": "614-293-9560",
"fax_number": "614-293-9561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "JOSHUA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-06",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "081280",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.0800264.SUPV",
"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 Jul 6, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.