MEDICARE: COLUMBUS COUNSELING AND MENTORING INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1215897079
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBUS COUNSELING AND MENTORING INSTITUTE

Provider Business Mailing Address
First Line	:	4955 BOTSFORD DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4503
Country	:	US
Telephone Number	:	614-843-6877
Fax Number	:

Provider Business Practice Location Address
First Line	:	4955 BOTSFORD DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4503
Country	:	US
Telephone Number	:	614-843-6877
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. JOI ADELL
Credential	:	PHD
Telephone Number	:	614-615-4500

Provider Enumeration Date	:	11/14/2025
Last Update Date	:	11/14/2025

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