Individual provider Active NPI

Breanna M Vandenheuvel, CDCA

  • Case Manager/Care Coordinator
  • Columbus, OH
National Provider Identifier
1821758327
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
4300 Clime Rd Ste 130
Columbus, OH 43228-6492
Phone
(614) 363-4489
NPI assigned
Dec 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.179087 OH
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

4300 Clime Rd Ste 130
Columbus, OH 43228-6492

Mailing address

4300 Clime Rd Ste 130
Columbus, OH 43228-6492
Phone (614) 363-4489

Other practice location 1

2065 Stoneridge Dr
Circleville, OH 43113-8956
Phone (740) 500-1391

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.179087OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Recovery of Circleville CurrentSince Jun 1, 2022 Accepting new patients
Full Circle Recovery of Circleville CurrentSince Jun 1, 2022 Accepting new patients
Spero Health of Ohio, LLC CurrentSince May 7, 2023 Accepting new patients
Buckeye Clinic PastSince Dec 1, 2021 Accepting new patients

Locations

2065 Stoneridge Dr
Circleville, OH 43113
Phone (740) 500-1391

4300 Clime Rd
Ste 130
Columbus, OH 43228
Phone (614) 363-4489

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/hopevalleyrecovery/r4/

Organizations & group practices 4

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": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1821758327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 CLIME RD STE 130",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432286492",
            "telephone_number": "614-363-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 CLIME RD STE 130",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432286492",
            "telephone_number": "614-363-4489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2065 Stoneridge Dr",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431138956",
            "country_code": "US",
            "telephone_number": "740-500-1391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDENHEUVEL",
        "first_name": "BREANNA",
        "middle_name": "M",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.179087",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "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 May 3, 2023; 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.