Active NPI
Goodwill Easter Seals Miami Valley
- Counselor
- Dayton, OH
National Provider Identifier
1154547883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- GOODWILL EASTER SEALS MIAMI VALLEY
- Practice address
- 660 S Main St
Dayton, OH 45402 - Phone
- (937) 461-4800
- Fax
- (937) 461-9578
- NPI assigned
- Apr 18, 2007
- 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. Graig Tuschong
- Title
- Vice President, Cfo
- Phone
- (937) 461-4800
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Optician | 156FX1800X | S.12248 | OH | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | 01-0550 | OH | |
| Eyewear Supplier | 332H00000X | S.12248 | OH |
Addresses
Primary practice location
660 S Main St
Dayton, OH 45402
Mailing address
660 S Main St
Dayton, OH 45402-2708
Phone (937) 461-4800
Other practice location 1
243 Warren St
Dayton, OH 45402-2803
Phone (937) 262-7983
Other practice location 2
732 W National Rd
Vandalia, OH 45377-1015
Phone (937) 528-7400
Other practice location 3
735 E. Main St.
Dayton, OH 45426-2903
Phone (937) 461-4801
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154547883 | Medicaid | OH | |
| 2913646 | Medicaid | OH | |
| 2284504 | Medicaid | OH |
Other names 2
- Goodwill Industries of Dayton, Inc.
- Goodwill Easter Seals Miami Valley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Goodwill Easter Seals of Miami Valley
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Dayton, OH
- NPI 1619291838
-
- Community/Behavioral Health Agency
- Dayton, OH
- NPI 1205297363
Locations
735 E Main St
Trotwood, OH 45426
Phone (937) 461-4801
732 W National Rd
Vandalia, OH 45377
Phone (937) 528-6577
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/gesmv/r4/
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Wilmington, OH
- NPI 1609006519
-
- Psychiatric/Mental Health Nurse Practitioner
- Hamilton, OH
- NPI 1417322397
-
- Student in an Organized Health Care Education/Training Program
- Dayton, OH
- NPI 1184517120
-
- Case Manager/Care Coordinator
- Moraine, OH
- NPI 1053881359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1154547883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454022708",
"telephone_number": "937-461-4800",
"fax_number": "937-461-9578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 S MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "45402",
"telephone_number": "937-461-4800",
"fax_number": "937-461-9578"
}
],
"practiceLocations": [
{
"address_1": "243 Warren St",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454022803",
"country_code": "US",
"telephone_number": "937-262-7983",
"fax_number": "937-223-2486",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "732 W National Rd",
"address_purpose": "LOCATION",
"city": "Vandalia",
"state": "OH",
"postal_code": "453771015",
"country_code": "US",
"telephone_number": "937-528-7400",
"fax_number": "937-461-6671",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "735 E. Main St.",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454262903",
"country_code": "US",
"telephone_number": "937-461-4801",
"fax_number": "937-461-6671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GOODWILL EASTER SEALS MIAMI VALLEY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2025-02-25",
"certification_date": "2025-02-20",
"status": "A",
"authorized_official_last_name": "TUSCHONG",
"authorized_official_first_name": "GRAIG",
"authorized_official_title_or_position": "VICE PRESIDENT, CFO",
"authorized_official_telephone_number": "937-461-4800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "S.12248",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "01-0550",
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "OH",
"license": "S.12248",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154547883",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2913646",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2284504",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Goodwill Industries of Dayton, Inc.",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Goodwill Industries of Dayton, Inc.",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Goodwill Easter Seals Miami Valley",
"code": "5",
"type": "Other Name"
}
]
}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 Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.