Individual provider Active NPI

Whitley B Sigman, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Gallipolis, OH
National Provider Identifier
1265919971
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
167816 Issued in OH
Practice address
45 Olive St
Gallipolis, OH 45631-1632
Phone
(740) 592-6724
Fax
(740) 592-6728
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 167816 OH Primary

Addresses

Primary practice location

45 Olive St
Gallipolis, OH 45631-1632

Mailing address

224 Columbus Rd
Athens, OH 45701-1334
Phone (740) 592-6724

Other identifiers 2

IdentifierTypeStateIssuer
2314525MedicaidOH
2864002MedicaidOH

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
167816OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1265919971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 COLUMBUS RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011334",
            "telephone_number": "740-592-6724",
            "fax_number": "740-592-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 OLIVE ST",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311632",
            "telephone_number": "740-592-6724",
            "fax_number": "740-592-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGMAN",
        "first_name": "WHITLEY",
        "middle_name": "B",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "167816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2314525",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2864002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallipolis, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.