Richard Alfonso Avila, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2303632 Issued in OH

Practice address

450 Alkyre Run Ste 250
Westerville, OH 43082-6076

Phone

(614) 705-2585

NPI assigned

Aug 16, 2023

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Credentials

Master of Arts

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.

• Olakino Inc.

  dba Ellie Mental Health

  • Mental Health Counselor
  • Westerville, OH
  • NPI 1942910104
  Medicare reassignment NPD

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1760265409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 ILLINOIS CT",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813014",
            "telephone_number": "973-306-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ALKYRE RUN STE 250",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826076",
            "telephone_number": "614-705-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "RICHARD",
        "middle_name": "ALFONSO",
        "name_prefix": "Mr.",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303632",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2303632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Ault
• Cynthia Aurand, PT
• Kimberly Bradshaw Austin, MD
• Afton Racine Avalos, LISW-S, CDCA
• Aleister Avenmarch, LSW
• Avodcare LLC (Care With A Heart)
• Aw Mursal Care LLC
• Ekundayo A Ayeni
• Carol I Ayogu, RN
• Katherine Babbitt, M.D.

• Professional Counselor in Westerville, OH
• Providers in Westerville, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.