SECOND CHANCE THERAPY LLC
NPI 1295589489
Clinic/Center - Mental Health (Including Community Mental Health Center) in Columbus, OH

Active since April 15, 2024
700 MORSE RD STE 110, COLUMBUS, OH 43214(614) 468-1110 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2026, Apr 15, 2024 (2 updates tracked since 2024).

About Second Chance Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SECOND CHANCE THERAPY LLC (NPI 1295589489) is a healthcare organization registered as a mental health (including community mental health center) in Columbus, Ohio and active in the NPI registry since April 2024. The organization lists Hibo Adem, Administrator, as its authorized official.

NPPES Registry Identity

NPI1295589489
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSECOND CHANCE THERAPY LLC
Location Address700 MORSE RD STE 110Columbus, OH 43214-1879
Mailing Address700 Morse Rd Ste 110Columbus, OH 43214-1879 · (614) 468-1110
Organization SubpartNo
Authorized OfficialHibo AdemAdministrator · (614) 446-6772
Enumeration DateApril 15, 2024
Last NPPES UpdateSeptember 2, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1295589489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
700 MORSE RD STE 110, Columbus, OH 43214

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Second Chance Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Second Chance Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1629792346
3636 ASHRIDGE ST
Columbus, OH 43219
(614) 432-3708
✔ PECOS5.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Second Chance Therapy LLC's NPI number?

The NPI number for Second Chance Therapy LLC is 1295589489. It was assigned to this organization in the NPPES registry on April 15, 2024.

Where is Second Chance Therapy LLC located?

Second Chance Therapy LLC is located at 700 Morse Rd Ste 110, Columbus, OH 43214. The listed phone number is (614) 468-1110.

What is Second Chance Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Second Chance Therapy LLC enrolled in Medicare?

Yes. Second Chance Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Second Chance Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Second Chance Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Second Chance Therapy LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Second Chance Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Second Chance Therapy LLC was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.