Active NPI
Cynthia Brushart, CDCA, RA
- Addiction (Substance Use Disorder) Counselor
- Waverly, OH
National Provider Identifier
1164933693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RA161574
- Practice address
- 14572 State Route 23
Suite C
Waverly, OH 45690 - Phone
- (740) 947-6727
- Fax
- (740) 947-6727
- NPI assigned
- Oct 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RA161574 | OH | Primary |
Addresses
Primary practice location
14572 State Route 23
Suite C
Waverly, OH 45690
Mailing address
14572 US RT 23
Suite C
Waverly, OH 45690
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
| License | State | Type | Specialty |
|---|---|---|---|
| RA161574 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1164933693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14572 US RT 23",
"address_2": "SUITE C",
"city": "WAVERLY",
"state": "OH",
"postal_code": "45690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14572 STATE ROUTE 23",
"address_2": "SUITE C",
"city": "WAVERLY",
"state": "OH",
"postal_code": "45690",
"telephone_number": "740-947-6727",
"fax_number": "740-947-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUSHART",
"first_name": "CYNTHIA",
"credential": "CDCA, RA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "RA161574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.