Active NPI
Terry Gay, PSS, IPS
- Addiction (Substance Use Disorder) Counselor
- Cincinnati, OH
National Provider Identifier
1194374371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 182266
- Practice address
- 830 Ezzard Charles Dr
Cincinnati, OH 45214-2525 - Phone
- (513) 381-6672
- NPI assigned
- Sep 10, 2019
- Sex
- Male
- 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 | 182266 | OH | Primary |
Addresses
Primary practice location
830 Ezzard Charles Dr
Cincinnati, OH 45214-2525
Mailing address
14 Martin St
Covington, KY 41011-3375
Phone (859) 206-1450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17920731081 | Medicaid | KY |
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 |
|---|---|---|---|
| 182266 | 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": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1194374371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MARTIN ST",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410113375",
"telephone_number": "859-206-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 EZZARD CHARLES DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452142525",
"telephone_number": "513-381-6672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAY",
"first_name": "TERRY",
"credential": "PSS, IPS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-10",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "182266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17920731081",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.