Active NPI
William Boswell, LICDC-CS
- Addiction (Substance Use Disorder) Counselor
- Akron, OH
National Provider Identifier
1326575119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LICDC.82785
- Practice address
- 404 Somerset Rd
Akron, OH 44313-4573 - Phone
- (330) 703-0977
- NPI assigned
- May 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CS-R.82785 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CS.00000375 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.82785 | OH | Primary |
Addresses
Primary practice location
404 Somerset Rd
Akron, OH 44313-4573
Mailing address
404 Somerset Rd
Akron, OH 44313-4573
Phone (330) 703-0977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0410735 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CS-R.82785 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| CS.00000375 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| LICDC.82785 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Light Center Recovery LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Cuyahoga Falls, OH
- NPI 1124652649
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1326575119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 SOMERSET RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443134573",
"telephone_number": "330-703-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 SOMERSET RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443134573",
"telephone_number": "330-703-0977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSWELL",
"first_name": "WILLIAM",
"credential": "LICDC-CS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CS-R.82785",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CS.00000375",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.82785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0410735",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.