Individual provider Active NPI

Bobby Jo Litteral, LICDC

  • Addiction (Substance Use Disorder) Counselor
  • Coshocton, OH
National Provider Identifier
1013234673
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
161484 Issued in OH
Practice address
537 Main St
Coshocton, OH 43812-1628
Phone
(740) 861-1704
NPI assigned
Apr 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 161484 OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

537 Main St
Coshocton, OH 43812-1628

Mailing address

537 Main St
Coshocton, OH 43812-1628
Phone (740) 693-4113

Other practice location 1

1634 11th St
Portsmouth, OH 45662-4526
Phone (740) 354-6685

Other practice location 2

213 E Chestnut St
Mount Vernon, OH 43050-3404
Phone (740) 861-1704

Other identifiers 1

IdentifierTypeStateIssuer
1013234673MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
161484OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1013234673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 MAIN ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121628",
            "telephone_number": "740-693-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 MAIN ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121628",
            "telephone_number": "740-861-1704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1634 11th St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456624526",
            "country_code": "US",
            "telephone_number": "740-354-6685",
            "fax_number": "740-354-5061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "OH",
            "postal_code": "430503404",
            "country_code": "US",
            "telephone_number": "740-861-1704",
            "fax_number": "740-326-1812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTERAL",
        "first_name": "BOBBY",
        "middle_name": "JO",
        "credential": "LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161484",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013234673",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.