Individual provider Active NPI

Richard Alfonso Avila, MA, LPCC

  • Professional Counselor
  • Westerville, OH
National Provider Identifier
1760265409
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
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
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.2303632 OH
Professional Counselor 101YP2500X E.2303632 OH Primary

Addresses

Primary practice location

450 Alkyre Run Ste 250
Westerville, OH 43082-6076

Mailing address

534 Illinois CT
Westerville, OH 43081-3014
Phone (973) 306-8486

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240212003370 OH Practitioner - Mental Health Counselor 1254774722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E.2303632OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Olakino Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

450 Alkyre Run
Ste 250
Westerville, OH 43082
Phone (614) 354-4822

438 E Wilson Bridge Rd
Ste 203
Worthington, OH 43085
Phone (614) 333-0458

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.