Edward J O'Reilly, LICDC-CS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LICDC.933651 Issued in OH

Practice address

1115 S Hamilton Rd
Columbus, OH 43227-1311

Phone

(380) 201-1110

NPI assigned

Sep 22, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lighthouse Behavioral Health Solutions, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1629560230

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1578012373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051156",
            "telephone_number": "614-220-8655",
            "fax_number": "614-220-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432271311",
            "telephone_number": "380-201-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "899 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432051156",
            "country_code": "US",
            "telephone_number": "614-220-8655 x79613",
            "fax_number": "614-220-8658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'REILLY",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "LICDC-CS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-22",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.933651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD",
            "identifier": "933651",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan O'Neill, MD
• Tasha O'Neill, MED.
• Emily O'Quin
• Christine Elizabeth O'Reilly, M.A.
• Daniel P O'Reilly, MD
• Erin Rosemary O'Riley, LSW
• Jamie O'Rourke, BCBA
• Shaun Brian O'Ryan, LPC
• William Michael Brendan O'Ryan, LSW, LCDC III
• Dana Marie O'Shea, M.S., CCC-SLP

• Addiction (Substance Use Disorder) Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.