Healthcare Provider Details

I. General information

NPI: 1396406385
Provider Name (Legal Business Name): JAMES REED
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2022
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 BRICE RD STE 110
REYNOLDSBURG OH
43068-3448
US

IV. Provider business mailing address

208 VISTA DR
GAHANNA OH
43230-5908
US

V. Phone/Fax

Practice location:
  • Phone: 614-706-0571
  • Fax:
Mailing address:
  • Phone: 216-501-7219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2608457
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: