Organization Active NPI

Second Chance Therapy LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
National Provider Identifier
1962370791
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SECOND CHANCE THERAPY LLC
Practice address
700 Morse Rd Ste 110
Columbus, OH 43214-1879
Phone
(614) 468-1110
Fax
(614) 999-1336
NPI assigned
Oct 24, 2025
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Hibo Adem, RNNPI 1124868203
Title
Owner
Phone
(614) 468-1110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

700 Morse Rd Ste 110
Columbus, OH 43214-1879

Mailing address

700 Morse Rd Ste 110
Columbus, OH 43214-1879
Phone (614) 468-1110

National Provider Directory

National Provider Directory
Tax ID family
Second Chance Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 Morse Rd
Ste 110
Columbus, OH 43214
Phone (614) 468-1110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1962370791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MORSE RD STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141879",
            "telephone_number": "614-468-1110",
            "fax_number": "614-999-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MORSE RD STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141879",
            "telephone_number": "614-468-1110",
            "fax_number": "614-999-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "ADEM",
        "authorized_official_first_name": "HIBO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-468-1110",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Sep 2, 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.