Active NPI
Angela Dawn Bryant, CDCA
- Addiction (Substance Use Disorder) Counselor
- Chillicothe, OH
National Provider Identifier
1265100267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 440 Western Ave
Chillicothe, OH 45601-2343 - Phone
- (740) 351-9298
- Fax
- (740) 351-9298
- NPI assigned
- Sep 3, 2021
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
440 Western Ave
Chillicothe, OH 45601-2343
Mailing address
3179 Wilson Run Rd
Chillicothe, OH 45601-8629
Phone (740) 935-8736
Other names 1
- Angela Dawn Leeth
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1265100267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3179 WILSON RUN RD",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456018629",
"telephone_number": "740-935-8736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 WESTERN AVE",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456012343",
"telephone_number": "740-351-9298",
"fax_number": "740-351-9298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "ANGELA",
"middle_name": "DAWN",
"credential": "CDCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2024-05-06",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "LEETH",
"middle_name": "DAWN",
"credential": "CDCA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.