Individual provider Active NPI

Dessie D Temple

  • Addiction (Substance Use Disorder) Counselor
  • Maple Heights, OH
National Provider Identifier
1013673623
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
50-17876 Issued in OH
Practice address
17825 Libby Rd
Maple Heights, OH 44137-1509
Phone
(216) 693-8550
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 50-17876 OH Primary

Addresses

Primary practice location

17825 Libby Rd
Maple Heights, OH 44137-1509

Mailing address

1802 E 13TH St Apt 606
Cleveland, OH 44114-3519
Phone (216) 712-0438

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dtemple@norainc.org Direct

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
50-17876OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1013673623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 E 13TH ST APT 606",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441143519",
            "telephone_number": "216-712-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17825 LIBBY RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371509",
            "telephone_number": "216-693-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "DESSIE",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "50-17876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dtemple@norainc.org",
            "affiliation": "N",
            "endpointDescription": "dtemple@norainc.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17825 Libby Rd",
            "city": "Maple Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441371509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.