Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Nathan Gillette , PRS

Peer Specialist β€’ Columbus, OH

Active NPI 1679204465 Individual Practitioner Male Practitioner
Practice location in NPPES

4177 E Broad St
Columbus, OH 432131217

Call 6146971313 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4177 E Broad St

Columbus, OH 432131217

Telephone 6146971313
Organization at the Same NPPES Address or Phone
Lighthouse Behavioral Health Solutions, Llc Facility NPI 1124683453

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Columbus, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Columbus and Ohio

396 active clinicians are listed under Peer Specialist with a practice address in Columbus, OH (3,082 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

0% of these 396 clinicians have the CMS telehealth indicator.

0% of these 396 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-20
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OH 003340

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

4214 E Main St

Columbus, OH 432133028

Phone: 3303346903

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location May 20, 2024

Registered at 4177 E BROAD ST, COLUMBUS, OH 432131217 (Tel: 6146971313)

βœ…
NPI Profile Active June 22, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 22, 2022

Registered at 4214 E MAIN ST, COLUMBUS, OH 432133028 (Tel: 3303346903)

πŸ“
Business Mailing Address (Initial Record) June 22, 2022

Registered at 4214 E MAIN ST, COLUMBUS, OH 432133028

πŸ‘€
Provider Name / Credentials (Initial Record) June 22, 2022

Recorded as NATHAN GILLETTE, PRS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2022

Peer Specialist (license number reported to NPPES: OH 003340)

🟒
Initial NPI Registration & Enumeration June 22, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1679204465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2022
Last Update: May 20, 2024
Sole Proprietor: No

Mailing Address

4214 E Main St

Columbus, OH 432133028

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.