Individual provider Active NPI

Tara Workman

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
National Provider Identifier
1639686629
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.165303 Issued in OH
Practice address
895 Parsons Ave
Columbus, OH 43206-2398
Phone
(330) 314-4330
NPI assigned
Dec 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.165303 OH Primary

Addresses

Primary practice location

895 Parsons Ave
Columbus, OH 43206-2398

Mailing address

330 Sr 142 NE
West Jefferson, OH 43162

Other practice location 1

330 OH-142 northeast
West Jefferson, OH 43162
Phone (614) 906-5315

Other practice location 2

99 N Brice Rd
Columbus, OH 43213-6510
Phone (614) 759-1176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CDCA.165303OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639686629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SR 142 NE",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "43162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062398",
            "telephone_number": "330-314-4330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 OH-142 northeast",
            "address_purpose": "LOCATION",
            "city": "West Jefferson",
            "state": "OH",
            "postal_code": "43162",
            "country_code": "US",
            "telephone_number": "614-906-5315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 N Brice Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432136510",
            "country_code": "US",
            "telephone_number": "614-759-1176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.165303",
            "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 Mar 17, 2018; 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.