Paragon Medical & Therapeutic Services of Ohio

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

PARAGON MEDICAL & THERAPEUTIC SERVICES OF OHIO

Doing business as

Paragon Medical & Therapeutic Services of Ohio

Practice address

7400 Justice Dr Ste 327
Gloucester, VA 23061-6146

Phone

(757) 528-5807

NPI assigned

May 4, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Antonio Richard King Jr., LSATPNPI 1639709918

Title

Clinical Director

Phone

(757) 713-0385

Specialties & licenses 1

Addresses

Other names 1

• Paragon Medical & Therapeutic Services of Ohio Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonio King Jr., LSATP

  • Addiction (Substance Use Disorder) Counselor
  • Dayton, OH
  • NPI 1639709918
  NPD Authorized official

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714780800000",
    "number": "1235986431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MEADOWLAKE RD",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933617",
            "telephone_number": "757-713-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 JUSTICE DR STE 327",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230616146",
            "telephone_number": "757-528-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON MEDICAL & THERAPEUTIC SERVICES OF OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "757-713-0385",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LSATP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragon Medical & Therapeutic Services of Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Leigh Ottarson, RPH
• Our Life's Journey
• Daisy T Overton, LNP - NURSE PRACT.
• Gerald A Packer, M.D.
• Pamela Minor, LPC, LLC
• John Alexander Parlett, PA
• Leslie Mona Parrish
• Barney Bryant Parson IV, PMHNP
• Penny Barbara Patton, LPC, LMFT
• Hannah Mariah Pearson, PA-S

• Addiction (Substance Use Disorder) Counselor in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.