Highlife Addiction Medicine and Counseling LLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

35066575 Issued in OH

Legal business name

HIGHLIFE ADDICTION MEDICINE AND COUNSELING LLC

Doing business as

Highlife Addiction Medicine and Counseling

Practice address

5925 Cleveland Ave
Suite C
Columbus, OH 43231-2208

Phone

(740) 601-6071

Fax

(800) 275-2415

NPI assigned

Oct 18, 2016

Organization subpart

Yes

Parent organization

HIGHLIFE HEALTH LLCAs reported in NPPES

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

Authorized official

Name

Jonathan Lee Haimes, MD

Title

MM/Ceo

Phone

(216) 543-4843

Specialties & licenses 1

Addresses

Other names 1

• Highlife Addiction Medicine and Counseling Doing business as

Locations

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1568913283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 CLEVELAND AVE",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312208",
            "telephone_number": "740-601-6071",
            "fax_number": "800-275-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 CLEVELAND AVE",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312208",
            "telephone_number": "740-601-6071",
            "fax_number": "800-275-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLIFE ADDICTION MEDICINE AND COUNSELING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGHLIFE HEALTH  LLC",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "HAIMES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MM/CEO",
        "authorized_official_telephone_number": "216-543-4843",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35066575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlife Addiction Medicine and Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Highfield MRI, LTD
• Brenda C Highley, CRNA
• Clinton Cooper Highley, D.O.
• James Martin Highley, DO
• Kristi Ann Highley, MS, RD, LD
• Highlife Recovery, LLC
• Highlife Recovery, LLC
• Carla Renee Hightower, MD
• Evelyn Hightower, MS, LSW, CDCA
• Ronda I Hightower

• Addiction Medicine (Internal Medicine) Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Addiction Medicine (Internal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.