Organization Active NPI

Recovery N With Andre

  • Addiction (Substance Use Disorder) Counselor
  • Canton, OH
National Provider Identifier
1225812274
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
RECOVERY N WITH ANDRE
Practice address
1334 Norwood PL NW
Canton, OH 44709-3304
Phone
(330) 353-1630
NPI assigned
Aug 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Mr. Andre Horner, LICDC
Title
Ceo
Phone
(330) 353-1630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1334 Norwood PL NW
Canton, OH 44709-3304

Mailing address

1334 Norwood PL NW
Canton, OH 44709-3304
Phone (330) 353-1630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1225812274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 NORWOOD PL NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093304",
            "telephone_number": "330-353-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 NORWOOD PL NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093304",
            "telephone_number": "330-353-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY N WITH ANDRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-353-1630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.