Individual provider Active NPI

Debra Kay Schifer, LSW LICDC

  • Addiction (Substance Use Disorder) Counselor
  • London, OH
National Provider Identifier
1255472098
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
001273 Issued in OH
Practice address
1375 US Highway 42 SE
London, OH 43140-9548
Phone
(740) 845-8652
Fax
(614) 503-0899
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 001273 OH Primary
Social Worker 104100000X 50022849 OH

Addresses

Primary practice location

1375 US Highway 42 SE
London, OH 43140-9548

Mailing address

1375 US Highway 42 SE
London, OH 43140-9548
Phone (740) 845-8652

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
001273OHMDAddiction (Substance Use Disorder) Counselor
50022849OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1255472098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 US HIGHWAY 42 SE",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409548",
            "telephone_number": "740-845-8652",
            "fax_number": "614-503-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 US HIGHWAY 42 SE",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409548",
            "telephone_number": "740-845-8652",
            "fax_number": "614-503-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFER",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "credential": "LSW LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "001273",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "50022849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.