Individual provider Active NPI

Nolita Rena Berger, LCDCII

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
National Provider Identifier
1982113536
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
161385 Issued in OH
Practice address
1002 E Livingston Ave Apt a
Columbus, OH 43205-2714
Phone
(614) 946-9711
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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 161385 OH Primary

Addresses

Primary practice location

1002 E Livingston Ave Apt a
Columbus, OH 43205-2714

Mailing address

1002 E Livingston Ave Apt a
Columbus, OH 43205-2714
Phone (614) 946-9711

Other practice location 1

1000 Atcheson St
Columbus, OH 43203-1353
Phone (614) 252-4941

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
161385OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Options for Healing CurrentSince Jul 25, 2021 Accepting new patients

Locations

332 Hamilton Ave
Columbus, OH 43203
Phone (614) 946-9711

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1982113536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 E LIVINGSTON AVE APT A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052714",
            "telephone_number": "614-946-9711",
            "fax_number": "614-242-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E LIVINGSTON AVE APT A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052714",
            "telephone_number": "614-946-9711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Atcheson St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432031353",
            "country_code": "US",
            "telephone_number": "614-252-4941",
            "fax_number": "614-246-2029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "NOLITA",
        "middle_name": "RENA",
        "credential": "LCDCII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161385",
            "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 Jul 20, 2021; 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.