Active NPI
Helena Katherine Haloulos
- Addiction (Substance Use Disorder) Counselor
- Youngstown, OH
National Provider Identifier
1174398259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 186251
- Practice address
- 3622 Belmont Ave Ste 21
Youngstown, OH 44505-1444 - Phone
- (234) 719-1897
- Fax
- (234) 719-1916
- NPI assigned
- Nov 20, 2023
- 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 | 186251 | OH | Primary |
Addresses
Primary practice location
3622 Belmont Ave Ste 21
Youngstown, OH 44505-1444
Mailing address
44 N Broad St
Canfield, OH 44406-1197
Phone (330) 533-6884
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 |
|---|---|---|---|
| 186251 | 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": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1174398259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 N BROAD ST",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444061197",
"telephone_number": "330-533-6884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3622 BELMONT AVE STE 21",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051444",
"telephone_number": "234-719-1897",
"fax_number": "234-719-1916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALOULOS",
"first_name": "HELENA",
"middle_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "186251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.