Caleb Adams
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Portsmouth, OH
NPI 1134817091 · NPPES record last updated Apr 28, 2023
Key facts
- NPI
- 1134817091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.184230 (OH)
- Practice address
- 411 Court St
Portsmouth, OH 45662-3932 - Phone
- (740) 354-6685
- Fax
- (740) 876-4005
- NPI assigned
- Apr 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.184230 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | CDCA.184230 | OH | Yes |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
411 Court St
Portsmouth, OH 45662-3932
Mailing address
411 Court St
Portsmouth, OH 45662-3932
Phone (740) 354-6685
Other providers in Portsmouth, OH
- 11TH St Surgical LLC
- A Great Work Ministries Inc
- Aaron Adams D. O., Inc.
- Access Scioto County
- Acute Care Express LLC
- Darren Chad Adams
- Jesse Ray Adams
- Kathy Adams
- Michael Fredrick Adams
- Nicholas Adams
All providers in Portsmouth, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.