Individual provider Active NPI

Harley Milton Littler III, LCDC III

  • Addiction (Substance Use Disorder) Counselor
  • Youngstown, OH
National Provider Identifier
1194482364
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
021156 Issued in OH
Practice address
1771 Market St
Youngstown, OH 44507-1135
Phone
(330) 744-5143
NPI assigned
Nov 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 021156 OH Primary

Addresses

Primary practice location

1771 Market St
Youngstown, OH 44507-1135

Mailing address

1507 Market St
Youngstown, OH 44507-1127
Phone (330) 744-5143

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

LicenseStateTypeSpecialty
021156OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoning County Community Corrections Association, Inc. CurrentSince Jul 23, 2023 Accepting new patients
Mahoning County Community Corrections Association, Inc. CurrentSince Nov 28, 2021 Accepting new patients

Locations

1507 Market St
Youngstown, OH 44507
Phone (330) 744-5143

1771 Market St
Youngstown, OH 44507
Phone (330) 744-5143

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1194482364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071127",
            "telephone_number": "330-744-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071135",
            "telephone_number": "330-744-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLER",
        "first_name": "HARLEY",
        "middle_name": "MILTON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCDC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "021156",
            "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 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.