Individual provider Active NPI

Abigail Sillaman, LSW

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1821683574
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S.1101184 Issued in OH
Practice address
3380 Tremont Rd Ste 280
Columbus, OH 43221-2140
Phone
(614) 869-4816
Fax
(614) 372-5590
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X S.1101184 OH Primary

Addresses

Primary practice location

3380 Tremont Rd Ste 280
Columbus, OH 43221-2140

Mailing address

3380 Tremont Rd Ste 280
Columbus, OH 43221-2140
Phone (614) 869-4816

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
S.1101184OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1821683574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 TREMONT RD STE 280",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212140",
            "telephone_number": "614-869-4816",
            "fax_number": "614-372-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 TREMONT RD STE 280",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212140",
            "telephone_number": "614-869-4816",
            "fax_number": "614-372-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLAMAN",
        "first_name": "ABIGAIL",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.1101184",
            "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 4, 2021; 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.