Clermont Recovery Center, Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CLERMONT RECOVERY CENTER, INC.

Practice address

1088 Wasserman Way
Suite C
Batavia, OH 45103-1911

Phone

(513) 735-8100

Fax

(513) 735-8156

NPI assigned

Apr 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven M. Goldsberry, LISW, LICDC

Title

President/Ceo

Phone

(513) 735-8100

Specialties & licenses 1

Addresses

Other names 1

• Council on Alcoholism & Drug Abuse Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Clermont Recovery Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clermont Recovery Center, Inc.

  • Public Health or Welfare Agency
  • Batavia, OH
  • NPI 1366458465
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Clark, LPCC

  • Counselor
  • Batavia, OH
  • NPI 1508210394
  NPD (past)
• Grace Louise McDonald, LCDCII

  • Addiction (Substance Use Disorder) Counselor
  • West Union, OH
  • NPI 1528597432
  NPD (past)
• Julia Pray, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Batavia, OH
  • NPI 1962856039
  NPD (past)
• Susan L Reginelli, LPN

  • Licensed Practical Nurse
  • Batavia, OH
  • NPI 1972072809
  NPD (past)
• Emmily Laurette Shanks, DO

  • Psychiatry Physician
  • Cincinnati, OH
  • NPI 1386272268
  NPD (past)
• Yveta Swearingen

  • Registered Nurse
  • Batavia, OH
  • NPI 1811443732
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043277759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 WASSERMAN WAY",
            "address_2": "SUITE C",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031911",
            "telephone_number": "513-735-8100",
            "fax_number": "513-735-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 WASSERMAN WAY",
            "address_2": "SUITE C",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031911",
            "telephone_number": "513-735-8100",
            "fax_number": "513-735-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERMONT RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSBERRY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "513-735-8100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW, LICDC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Council on Alcoholism & Drug Abuse",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Clermont County Educational Service Center
• Clermont County General Health District
• Clermont County General Health District
• Clermont Internists Associates, Inc.
• Clermont Northeastern Local Schools
• Clermont Recovery Center, Inc.
• Clermont Senior Services, Inc.
• Heather Autumn Cokl, LPCC
• Megan Cole, STNA
• Melissa Easton Cole

• Public Health or Welfare Agency in Batavia, OH
• Providers in Batavia, OH by specialty
• Public Health or Welfare Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.