Devin Cunningham

Individual provider Active NPI Case Manager/Care Coordinator · Mount Orab, OH

NPI 1316701790 · NPPES record last updated Feb 7, 2024

Key facts

NPI
1316701790
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
149 Mercy Blvd
Mount Orab, OH 45154-0296
Phone
(937) 712-3121
NPI assigned
Feb 7, 2024
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Center, Inc. Addiction (Substance Use Disorder) Current
since Feb 11, 2024
Accepting new patients
Phoenix Center, Inc. Past
since Feb 11, 2024
Accepting new patients

Locations

149 Mercy Blvd
Mount Orab, OH 45154
Phone (740) 727-2000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

149 Mercy Blvd
Mount Orab, OH 45154-0296

Mailing address

149 Mercy Blvd
Mount Orab, OH 45154-0296
Phone (937) 712-3121

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address dcunningham@thephoenixcenters.com Direct

Other providers in Mount Orab, OH

All providers in Mount Orab, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.