Active NPI
Nicole Arnold, CDCA.183254
- Addiction (Substance Use Disorder) Counselor
- Ironton, OH
National Provider Identifier
1104531102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.183254
- Practice address
- 117 N 4TH St
Ironton, OH 45638-1403 - Phone
- (740) 237-4981
- Fax
- (877) 325-2816
- NPI assigned
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.183254 | OH | Primary |
Addresses
Primary practice location
117 N 4TH St
Ironton, OH 45638-1403
Mailing address
117 N 4TH St
Ironton, OH 45638-1403
Phone (740) 237-4981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008048 | 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.183254 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Family Recovery, LLC | Mental Health | Past | Accepting new patients |
| United Family Recovery, LLC | 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.
-
- Community/Behavioral Health Agency
- Coal Grove, OH
- NPI 1598366346
Mental Health
-
- Community/Behavioral Health Agency
- Coal Grove, OH
- NPI 1972100014
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1104531102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 N 4TH ST",
"city": "IRONTON",
"state": "OH",
"postal_code": "456381403",
"telephone_number": "740-237-4981",
"fax_number": "877-325-2816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N 4TH ST",
"city": "IRONTON",
"state": "OH",
"postal_code": "456381403",
"telephone_number": "740-237-4981",
"fax_number": "877-325-2816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "NICOLE",
"credential": "CDCA.183254",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-16",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"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": "CDCA.183254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008048",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ironton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.