Individual provider Active NPI

Cassandra L Torrence-Clayton

  • Addiction (Substance Use Disorder) Counselor
  • Akron, OH
National Provider Identifier
1023752979
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.180037 Issued in OH
Practice address
665 W Market St
Akron, OH 44303-1438
Phone
(330) 379-3467
Fax
(330) 379-3465
NPI assigned
Apr 26, 2022
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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 CDCA.180037 OH Primary

Addresses

Primary practice location

665 W Market St
Akron, OH 44303-1438

Mailing address

665 W Market St
Akron, OH 44303-1438
Phone (330) 379-3467

Other identifiers 1

IdentifierTypeStateIssuer
2847709MedicaidOH

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
CDCA.180037OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1023752979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031438",
            "telephone_number": "330-379-3467",
            "fax_number": "330-379-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031438",
            "telephone_number": "330-379-3467",
            "fax_number": "330-379-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRENCE-CLAYTON",
        "first_name": "CASSANDRA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.180037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2847709",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.