Active NPI
Terron E. Gaiter, LISW, LICDC
- Community/Behavioral Health Agency
- Cincinnati, OH
National Provider Identifier
1043672496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- I2203490
- Practice address
- 3650 Muddy Creek Rd
Cincinnati, OH 45238-2057 - Phone
- (513) 347-0375
- Fax
- (513) 347-0376
- NPI assigned
- Mar 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ICDC.161097 | OH | |
| Social Worker | 104100000X | AP00943993 | WV | |
| Clinical Social Worker | 1041C0700X | I.2203490 | OH | |
| Community/Behavioral Health Agency | 251S00000X | I2203490 | OH | Primary |
Addresses
Primary practice location
3650 Muddy Creek Rd
Cincinnati, OH 45238-2057
Mailing address
9743 Woodmill LN
Cincinnati, OH 45231-3725
Phone (513) 687-0838
Other practice location 1
9743 Woodmill Ln
Cincinnati, OH 45231-3725
Phone (513) 687-0838
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ICDC.161097 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| AP00943993 | WV | MD | Social Worker |
| I.2203490 | OH | MD | Clinical Social Worker |
| I2203490 | OH | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridge HVP LLC | Past | Accepting new patients | |
| Equitas Health,Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1518227453
-
- Substance Abuse Rehabilitation Facility
- Batavia, OH
- NPI 1558616375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1043672496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9743 WOODMILL LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452313725",
"telephone_number": "513-687-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 MUDDY CREEK RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452382057",
"telephone_number": "513-347-0375",
"fax_number": "513-347-0376"
}
],
"practiceLocations": [
{
"address_1": "9743 Woodmill Ln",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452313725",
"country_code": "US",
"telephone_number": "513-687-0838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAITER",
"first_name": "TERRON",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "LISW, LICDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-24",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "ICDC.161097",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "AP00943993",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2203490",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "I2203490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.