Individual provider Active NPI

Cheyanne Nicole Closs, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Vinton, OH
National Provider Identifier
1144714478
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
166820 Issued in OH
Practice address
11821 State Route 160
Vinton, OH 45686-9009
Phone
(740) 245-3051
NPI assigned
Jun 20, 2018
Last updated
Jun 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 166820 OH Primary

Addresses

Primary practice location

11821 State Route 160
Vinton, OH 45686-9009

Mailing address

53 W Main St
Jackson, OH 45640-1180
Phone (740) 577-6671

Other practice location 1

11821 State Route 160
Vinton, OH 45686-9009
Phone (740) 245-3051

Other identifiers 1

IdentifierTypeStateIssuer
0145313MedicaidOH

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
166820OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Field of Hope Community Campus, Inc. PastSince May 16, 2021 Accepting new patients
Field of Hope Community Campus, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1144714478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W MAIN ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401180",
            "telephone_number": "740-577-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 STATE ROUTE 160",
            "city": "VINTON",
            "state": "OH",
            "postal_code": "456869009",
            "telephone_number": "740-245-3051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11821 State Route 160",
            "address_purpose": "LOCATION",
            "city": "Vinton",
            "state": "OH",
            "postal_code": "456869009",
            "country_code": "US",
            "telephone_number": "740-245-3051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOSS",
        "first_name": "CHEYANNE",
        "middle_name": "NICOLE",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "166820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145313",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.