Active NPI
James Ryan Ward, CDCA
- Addiction (Substance Use Disorder) Counselor
- Beachwood, OH
National Provider Identifier
1215756861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.189761
- Practice address
- 23412 Commerce Park
Beachwood, OH 44122-5813 - Phone
- (216) 400-6640
- Fax
- (216) 250-7016
- NPI assigned
- Oct 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | CDCA.189761 | OH | Primary |
Addresses
Primary practice location
23412 Commerce Park
Beachwood, OH 44122-5813
Mailing address
628 Davidson Dr
Highland Heights, OH 44143-2050
Phone (216) 924-5935
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.189761 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miklat Recovery | Current | Accepting new patients |
Locations
23412 Commerce Park
Beachwood, OH 44122
Phone (216) 400-6640
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1215756861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 DAVIDSON DR",
"city": "HIGHLAND HEIGHTS",
"state": "OH",
"postal_code": "441432050",
"telephone_number": "216-924-5935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23412 COMMERCE PARK",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225813",
"telephone_number": "216-400-6640",
"fax_number": "216-250-7016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "JAMES",
"middle_name": "RYAN",
"credential": "CDCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.189761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.