Heather Gore, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.171106 Issued in OH

Practice address

4995 Bradenton Ave Ste 110
Dublin, OH 43017-3551

Phone

(614) 515-2500

Fax

(614) 573-0530

NPI assigned

Sep 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Columbus Physicians Group LLC

  • Interventional Pain Medicine Physician
  • Dublin, OH
  • NPI 1467239616

  Single Specialty

  NPD Authorized official
• Physical Medicine & Rehabilitation Centers of Ohio

  • Physical Medicine & Rehabilitation Physician
  • Heath, OH
  • NPI 1710544853

  Single Specialty

  NPD (past) Authorized official
• Orthopaedic Spine & Joint Center

  • Interventional Pain Medicine Physician
  • Hoover, AL
  • NPI 1417806134
  NPD (past) Authorized official

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1821877697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17825 CRADLER TURNER RD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430409336",
            "telephone_number": "937-707-4662",
            "fax_number": "833-392-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 BRADENTON AVE STE 110",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173551",
            "telephone_number": "614-515-2500",
            "fax_number": "614-573-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "HEATHER",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.171106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanna Goodrum
• Gabriella Goodson, RD, LD
• Daniel Gerard Gorbett Jr., MD
• Robert L Gordon, PHD
• Veronica Lynn Gordon, RN
• Haya Gorgis
• Sabrina M. Gorner, RN
• Brandon Gorton
• Adrian Gorzitze-Maxey, PA
• Melinda Gosche

• Addiction (Substance Use Disorder) Counselor in Dublin, OH
• Providers in Dublin, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.