Corliss West

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

1 N Commerce Park Dr Ste 318
Cincinnati, OH 45215-3187

Phone

(513) 761-0158

NPI assigned

Sep 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

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

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.

• Tashay Johnny & Addies Way LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Cincinnati, OH
  • NPI 1083468474
  NPD Authorized official
• Tashay Johnny & Addies Way LLC

  • Home Health Agency
  • Cincinnati, OH
  • NPI 1336936004
  NPD Authorized official
• Urban Minority Alcoholism & Drug Abuse Outreach Program of Cincinnati

  • Community/Behavioral Health Agency
  • Cincinnati, OH
  • NPI 1043419237

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1851849699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N COMMERCE PARK DR STE 318",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452153187",
            "telephone_number": "513-761-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N COMMERCE PARK DR STE 318",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452153187",
            "telephone_number": "513-761-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "CORLISS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.110131",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143878",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiara Ta'Nyla West-Higgins
• Augustus Donald West
• Caroline West, PHD
• Christina Ruth-Womacks West, MA, LPCC
• Constance E West, M.D.
• Desiree Nicole West
• Ernest West
• Gayle West, LISW
• Holly West
• Jennifer C West

• Homemaker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.