Active NPI
Corerstone Project LLC
- Addiction (Substance Use Disorder) Counselor
- Dayton, OH
National Provider Identifier
1114219532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- CORERSTONE PROJECT LLC
- Practice address
- 1010 Woodman Dr
Dayton, OH 45432-1400 - Phone
- (937) 424-2223
- NPI assigned
- May 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Warren
- Title
- Ceo
- Phone
- (937) 397-1884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | OH | Primary |
Addresses
Primary practice location
1010 Woodman Dr
Dayton, OH 45432-1400
Mailing address
1010 Woodman Dr
Dayton, OH 45432-1400
Phone (937) 424-2223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274483322 | Other | OH | 274483322 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304380800000",
"number": "1114219532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 WOODMAN DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454321400",
"telephone_number": "937-424-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 WOODMAN DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454321400",
"telephone_number": "937-424-2223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORERSTONE PROJECT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-03",
"last_updated": "2011-05-03",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "937-397-1884",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "274483322",
"identifier": "274483322",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.