Individual provider Active NPI

Olivia Cheyenne Burris, LCDCII

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
National Provider Identifier
1821879875
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCDCII.162203 Issued in OH
Practice address
355 E Campus View Blvd Ste 285
Columbus, OH 43235-5680
Phone
(614) 750-9899
NPI assigned
Oct 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCDCII.162203 OH Primary

Addresses

Primary practice location

355 E Campus View Blvd Ste 285
Columbus, OH 43235-5680

Mailing address

355 E Campus View Blvd Ste 285
Columbus, OH 43235-5680
Phone (407) 874-0499

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
LCDCII.162203OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Gambling Telehealth Network CurrentSince Oct 8, 2023 Accepting new patients

Locations

355 E Campus View Blvd
Ste 285
Columbus, OH 43235
Phone (614) 750-9899

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1821879875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E CAMPUS VIEW BLVD STE 285",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355680",
            "telephone_number": "407-874-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E CAMPUS VIEW BLVD STE 285",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355680",
            "telephone_number": "614-750-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "OLIVIA",
        "middle_name": "CHEYENNE",
        "credential": "LCDCII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCII.162203",
            "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 Apr 8, 2026; 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.