Individual provider Active NPI

William Pierce Beaver

  • Addiction (Substance Use Disorder) Counselor
  • Cincinnati, OH
National Provider Identifier
1306398227
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
130508 Issued in OH
Practice address
9145 Governors Way
Cincinnati, OH 45249-2037
Phone
(513) 845-8655
Fax
(513) 753-9968
NPI assigned
Oct 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 130508 OH Primary

Addresses

Primary practice location

9145 Governors Way
Cincinnati, OH 45249-2037

Mailing address

9145 Governors Way
Cincinnati, OH 45249-2037
Phone (513) 845-8655

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
130508OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Cincinnati LLC CurrentSince Jan 1, 2025 Accepting new patients
New Horizons Cincinnati LLC CurrentSince Aug 18, 2024 Accepting new patients
Ridge HVP LLC Past Accepting new patients

Locations

9145 Governors Way
Cincinnati, OH 45249
Phone (513) 637-3571

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1306398227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9145 GOVERNORS WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492037",
            "telephone_number": "513-845-8655",
            "fax_number": "513-753-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9145 GOVERNORS WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492037",
            "telephone_number": "513-845-8655",
            "fax_number": "513-753-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "WILLIAM",
        "middle_name": "PIERCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-26",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "130508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.