Individual provider Active NPI

Terron E. Gaiter, LISW, LICDC

  • Community/Behavioral Health Agency
  • Cincinnati, OH
National Provider Identifier
1043672496
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
I2203490 Issued in OH
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

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
ICDC.161097OHMDAddiction (Substance Use Disorder) Counselor
AP00943993WVMDSocial Worker
I.2203490OHMDClinical Social Worker
I2203490OHMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.