Individual provider Active NPI

Shawna Parm, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Cincinnati, OH
National Provider Identifier
1326529686
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.181847 Issued in OH
Practice address
801 Evans St Ste 104
Cincinnati, OH 45204-2075
Phone
(513) 903-6559
Fax
(513) 279-3161
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Peer Specialist 175T00000X APS.003447 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.181847 OH Primary

Addresses

Primary practice location

801 Evans St Ste 104
Cincinnati, OH 45204-2075

Mailing address

801 Evans St Ste 104
Cincinnati, OH 45204-2075
Phone (513) 903-6559

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.181847OHMDAddiction (Substance Use Disorder) Counselor
APS.003447OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Heart Services LLC CurrentSince Aug 28, 2022 Accepting new patients
Sankofa Therapy Practice, LLC CurrentSince Apr 28, 2024 Accepting new patients
L&J Healthcare Dba Adams Recovery Center, LLC Past Accepting new patients
L&J Healthcare, LLC PastSince Feb 1, 2019 Accepting new patients

Locations

801 Evans St
Ste 104
Cincinnati, OH 45204
Phone (513) 222-5369

Organizations & group practices 4

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1326529686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 EVANS ST STE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452042075",
            "telephone_number": "513-903-6559",
            "fax_number": "513-279-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 EVANS ST STE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452042075",
            "telephone_number": "513-903-6559",
            "fax_number": "513-279-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARM",
        "first_name": "SHAWNA",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.003447",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.181847",
            "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 23, 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.