Second Chance Therapy LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Columbus, OH. Organization (NPI-2).
Details
- NPI
- 1295589489
- Entity type
- Organization (NPI-2)
- Legal business name
- Second Chance Therapy LLC
- Organization subpart
- No
- Enumeration date
- Apr 15, 2024
- Certification date
- Sep 2, 2026
- Last updated
- Sep 2, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
700 Morse Rd Ste 110Columbus, OH 43214-1879
Phone 614-468-1110
Mailing address
700 Morse Rd Ste 110Columbus, OH 43214-1879
Phone 614-468-1110
Authorized official
Hibo Adem
Administrator
6144466772
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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