Active NPI
Hannah R Mathews, CDCA
- Addiction (Substance Use Disorder) Counselor
- Portsmouth, OH
National Provider Identifier
1194366732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.175362
- Practice address
- 605 Washington St
Portsmouth, OH 45662-3919 - Phone
- (740) 353-8863
- Fax
- (740) 354-7854
- NPI assigned
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.171708 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.175362 | OH | Primary |
Addresses
Primary practice location
605 Washington St
Portsmouth, OH 45662-3919
Mailing address
605 Washington St
Portsmouth, OH 45662-3919
Phone (740) 353-8863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CDCA.175362 | Other | OH | CDCA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | http://portsmouthcityhealth.org/ |
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 |
|---|---|---|---|
| CDCA.171708 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| CDCA.175362 | 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": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1194366732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 WASHINGTON ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456623919",
"telephone_number": "740-353-8863",
"fax_number": "740-354-7854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 WASHINGTON ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456623919",
"telephone_number": "740-353-8863",
"fax_number": "740-354-7854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "HANNAH",
"middle_name": "R",
"name_prefix": "Miss",
"credential": "CDCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.171708",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.175362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDCA",
"identifier": "CDCA.175362",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "http://portsmouthcityhealth.org/",
"affiliation": "N",
"endpointDescription": "Health Department Website",
"address_1": "605 Washington St",
"city": "Portsmouth",
"state": "OH",
"country_code": "US",
"postal_code": "456623919",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.