Active NPI
Audra Janelle Zinn, CDCA PRELIMINARY
- Addiction (Substance Use Disorder) Counselor
- Van Wert, OH
National Provider Identifier
1194326264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 123 S Washington St
Van Wert, OH 45891-1707 - Phone
- (419) 771-1050
- Fax
- (419) 771-1051
- NPI assigned
- Nov 5, 2020
- 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 | Primary |
Addresses
Primary practice location
123 S Washington St
Van Wert, OH 45891-1707
Mailing address
123 S Washington St
Van Wert, OH 45891-1707
Phone (419) 771-1050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CDCA.174665 | Other | OH | OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angel Intervention Services LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
123 S Washington St
Van Wert, OH 45891
Phone (419) 771-1050
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Van Wert, OH
- NPI 1801311121
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1194326264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S WASHINGTON ST",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458911707",
"telephone_number": "419-771-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S WASHINGTON ST",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458911707",
"telephone_number": "419-771-1050",
"fax_number": "419-771-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINN",
"first_name": "AUDRA",
"middle_name": "JANELLE",
"credential": "CDCA PRELIMINARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD",
"identifier": "CDCA.174665",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Van Wert, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.