Dustin Kyle Bach, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

167975 Issued in OH

Practice address

530 2ND Ave
Gallipolis, OH 45631

Phone

(740) 446-2085

Fax

(740) 446-2292

NPI assigned

Jul 10, 2018

Last updated

Aug 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spectrum Outreach Services, LTD

  • Community/Behavioral Health Agency
  • Ironton, OH
  • NPI 1013969666

  Addiction (Substance Use Disorder)

  NPD (past)
• Spectrum Outreach Services, LTD

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ironton, OH
  • NPI 1699254300
  NPD (past)

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1083100333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S 4TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381610",
            "telephone_number": "740-532-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 2ND AVE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "45631",
            "telephone_number": "740-446-2085",
            "fax_number": "740-446-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "DUSTIN",
        "middle_name": "KYLE",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "167975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Faith Arnold, FNP-BC
• Divya Arora
• Kristen L Ashburn, QMHS
• Rebecca Ashburn
• Alexander Breck Avenmarch
• Canaan Baer, MD
• Tyler Andrew Bahr, MD
• Adil Ilyas Baig, MD
• Tara L Bailey, CRISIS RES SPEC
• Brittney Bainter

• Addiction (Substance Use Disorder) Counselor in Gallipolis, OH
• Providers in Gallipolis, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.