Tegan Jean Drake, CDCA, RA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

173518 Issued in OH

Practice address

927 Wheeling Ave Ste 310
Cambridge, OH 43725-2340

Phone

(740) 439-4532

Fax

(740) 439-1031

NPI assigned

Apr 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Guernsey Health Choices, Inc.

  • Community/Behavioral Health Agency
  • Cambridge, OH
  • NPI 1306307756
  NPD (past)
• Guernsey Health Choices, Inc.

  • Community/Behavioral Health Agency
  • Cambridge, OH
  • NPI 1649240920

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1275113979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 WHEELING AVE STE 310",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252340",
            "telephone_number": "740-439-4532",
            "fax_number": "740-439-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 WHEELING AVE STE 310",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252340",
            "telephone_number": "740-439-4532",
            "fax_number": "740-439-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "TEGAN",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "CDCA, RA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "173518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Ditter
• Erica Lynn Dodge, RD, LD
• Dollison Chiropractic Office, LTD
• Carl Richard Dollison, D.C.
• Aaron S Doudna, OD
• Charles Oscar Du Bois, D.D.S.
• Gary Robert Duff, DDS
• Erin Culleen Dunigan
• Kevin Brent Dunlap
• Laura Mae Dunlap, PHARM D, RPH

• Addiction (Substance Use Disorder) Counselor in Cambridge, OH
• Providers in Cambridge, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.