Active NPI
Matthew Robert Bell, CDCA, PRS
- Addiction (Substance Use Disorder) Counselor
- Massillon, OH
National Provider Identifier
1083257463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.175437
- Practice address
- 1680 Nave Rd SE
Massillon, OH 44646-9604 - Phone
- (330) 830-8740
- Fax
- (330) 830-0912
- NPI assigned
- Oct 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.175437 | OH | Primary |
| Peer Specialist | 175T00000X | APS.001391 | OH |
Addresses
Primary practice location
1680 Nave Rd SE
Massillon, OH 44646-9604
Mailing address
625 Cleveland Ave NW
Canton, OH 44702-1805
Phone (330) 455-0374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0375110 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.175437 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| APS.001391 | OH | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Recovery and Prevention Services, Inc. | Past | Accepting new patients | |
| Commquest Services, Inc. | Addiction (Substance Use Disorder) | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1841550696
Addiction (Substance Use Disorder)
-
- Community/Behavioral Health Agency
- Canton, OH
- NPI 1962831685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1083257463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 CLEVELAND AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447021805",
"telephone_number": "330-455-0374",
"fax_number": "330-453-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 NAVE RD SE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446469604",
"telephone_number": "330-830-8740",
"fax_number": "330-830-0912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "MATTHEW",
"middle_name": "ROBERT",
"credential": "CDCA, PRS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-18",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.175437",
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.001391",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0375110",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.