Individual provider Active NPI

Joshua Daniel Demory

  • Addiction (Substance Use Disorder) Counselor
  • Ironton, OH
National Provider Identifier
1306411087
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.182872 Issued in OH
Practice address
202 N 5TH St
Ironton, OH 45638-1186
Phone
(740) 534-2100
NPI assigned
May 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.182872 OH Primary

Addresses

Primary practice location

202 N 5TH St
Ironton, OH 45638-1186

Mailing address

801 Kentucky Ave
Worthington, KY 41183-9355
Phone (606) 483-4601

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL josh.demory@bethesdaservicesllc.com

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
CDCA.182872OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1306411087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 KENTUCKY AVE",
            "city": "WORTHINGTON",
            "state": "KY",
            "postal_code": "411839355",
            "telephone_number": "606-483-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N 5TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381186",
            "telephone_number": "740-534-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMORY",
        "first_name": "JOSHUA",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.182872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "josh.demory@bethesdaservicesllc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "202 N 5th St",
            "city": "Ironton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456381186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.