NPIMap

Organization Active NPI

Miami County Recovery Council

  • Community/Behavioral Health Agency
  • Troy, OH
National Provider Identifier
1124370812
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
081083 Issued in OH
Legal business name
MIAMI COUNTY RECOVERY COUNCIL
Practice address
1059 N Market St
Troy, OH 45373-1433
Phone
(937) 335-4543
Fax
(937) 339-8371
NPI assigned
Oct 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Angie Fogt, BS, LCDCIII
Title
Chemical Dependency Counselor
Phone
(937) 335-4543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 081083 OH Primary

Addresses

Primary practice location

1059 N Market St
Troy, OH 45373-1433

Mailing address

1059 N Market St
Troy, OH 45373-1433
Phone (937) 335-4543

Other identifiers 1

IdentifierTypeStateIssuer
2901051MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Miami County Recovery Council2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1124370812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 N MARKET ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731433",
            "telephone_number": "937-335-4543",
            "fax_number": "937-339-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 N MARKET ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731433",
            "telephone_number": "937-335-4543",
            "fax_number": "937-339-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI COUNTY RECOVERY COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "FOGT",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "CHEMICAL DEPENDENCY COUNSELOR",
        "authorized_official_telephone_number": "937-335-4543",
        "authorized_official_credential": "BS, LCDCIII"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "081083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2901051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.