Individual provider Active NPI

Helene Solomon Daum

  • Addiction (Substance Use Disorder) Counselor
  • Holland, OH
National Provider Identifier
1114541992
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.173772 Issued in OH
Practice address
6202 Trust Dr
Holland, OH 43528-8425
Phone
(419) 824-8462
NPI assigned
Jun 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162930 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.173772 OH Primary

Addresses

Primary practice location

6202 Trust Dr
Holland, OH 43528-8425

Mailing address

3529 Devon Hill Rd
Toledo, OH 43606-1103
Phone (844) 316-7599

Other practice location 1

3231 Central Park W Ste 106
Toledo, OH 43617-3009
Phone (844) 316-7599

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

LicenseStateTypeSpecialty
CDCA.173772OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Racing for Recovery Addiction (Substance Use Disorder) CurrentSince Nov 15, 2020 Accepting new patients
Racing for Recovery Addiction (Substance Use Disorder) CurrentSince Jan 31, 2021 Accepting new patients

Locations

6202 Trust Dr
Holland, OH 43528
Phone (419) 491-7300

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1114541992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 DEVON HILL RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061103",
            "telephone_number": "844-316-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 TRUST DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288425",
            "telephone_number": "419-824-8462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 Central Park W Ste 106",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436173009",
            "country_code": "US",
            "telephone_number": "844-316-7599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUM",
        "first_name": "HELENE",
        "middle_name": "SOLOMON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162930",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.173772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.