Shelly Sizemore
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Vinton, OH
NPI 1104394840 · NPPES record last updated Nov 12, 2018
Key facts
- NPI
- 1104394840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 168367 (OH)
- Practice address
- 11821 State Route 160
Vinton, OH 45686-9009 - Phone
- (740) 245-3051
- NPI assigned
- Nov 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168367 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Field of Hope Community Campus, Inc. | Past | Accepting new patients | |
| Field of Hope Community Campus, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 168367 | OH | Yes |
Addresses
Primary practice location
11821 State Route 160
Vinton, OH 45686-9009
Mailing address
11821 State Route 160
Vinton, OH 45686-9009
Phone (740) 245-3051
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0145313 | Medicaid | OH |
Other providers in Vinton, OH
- Amber Lee Richards
- Erin Danielle Shaffer
- Silk LLC
- Amy N Sisson
- Joe Sizemore
- Lacie Ann Skeen
- Melissa Stalnaker
- Janette N Stewart
- Garry B Stover III
- Justin Paul Taylor
All providers in Vinton, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.