Active NPI
Edward Fitch, CDCA
- Addiction (Substance Use Disorder) Counselor
- Ontario, OH
National Provider Identifier
1104701192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.193171
- Practice address
- 2281 Village Mall Dr Unit 3
Ontario, OH 44906-1153 - Phone
- (904) 755-4997
- NPI assigned
- Aug 8, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.193171 | OH | Primary |
Addresses
Primary practice location
2281 Village Mall Dr Unit 3
Ontario, OH 44906-1153
Mailing address
2281 Village Mall Dr Unit 3
Ontario, OH 44906-1153
Phone (904) 755-4997
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.193171 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redemption Recovery Group LLC | Current | Accepting new patients | |
| Redemption Recovery Group LLC | Current | Accepting new patients |
Locations
2281 Village Mall Dr
Unit 3
Ontario, OH 44906
Phone (772) 353-1410
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.
-
- Adult Mental Health Clinic/Center
- Ontario, OH
- NPI 1376337873
-
- Substance Abuse Rehabilitation Facility
- Ontario, OH
- NPI 1548047921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1104701192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2281 VILLAGE MALL DR UNIT 3",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449061153",
"telephone_number": "904-755-4997",
"fax_number": "904-755-4997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2281 VILLAGE MALL DR UNIT 3",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449061153",
"telephone_number": "904-755-4997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITCH",
"first_name": "EDWARD",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-08",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.193171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.