AMETHYST INC. NPI 1528049913

NPI Information

NPI: 1528049913
Provider Name: AMETHYST, INC.
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
527 S HIGH ST
COLUMBUS, OH
ZIP 43215
Phone: (614) 242-1284
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AMETHYST, INC. is an addiction (substance use disorder) counselor in Columbus, OH. AMETHYST, INC. NPI is 1528049913. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

527 S HIGH ST
COLUMBUS, OH
ZIP 43215-602
Phone: (614) 242-1284
Fax: (614) 242-1285

The provider's authorized official is Virginia O'keeffe .
The authorized official title is Chief Executive Officer and has the following contact phone number (614) 242-1284.

The enumeration date for this NPI number is 11/11/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	96-063T	OHIO	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	96-064T	OHIO	X
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	96-065T	OHIO	X
4	101YM0800X	Counselor	Mental Health	0535	OHIO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0001849	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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