Carl Whittenburg, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.172951 Issued in OH

Practice address

485 W Main St
Wilmington, OH 45177-2174

Phone

(513) 834-7063

Fax

(513) 873-1567

NPI assigned

Mar 4, 2020

Last updated

Mar 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elissa Whittenburg MD PA

  dba Hill County Primary Care

  • Rural Health Clinic/Center
  • Lebanon, OH
  • NPI 1235204405
  NPD (past) Authorized official
• My Catholic Doctor, P.L.L.C.

  dba MyCatholicDoctor

  • Pediatrics Physician
  • New Canaan, CT
  • NPI 1396201307
  NPD

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1326673948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 FOX HOLLOW DR",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367846",
            "telephone_number": "513-288-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772174",
            "telephone_number": "513-834-7063",
            "fax_number": "513-873-1567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1237 Fox Hollow Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450367846",
            "country_code": "US",
            "telephone_number": "513-288-0637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTENBURG",
        "first_name": "CARL",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.172951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Whalen
• Pamela Sue Whalen
• Shawnna Leigh Wharton
• Brandon Whitaker
• Connie M Whitaker, CRNA
• Cherie Lindsay Whittington, R.N.
• Ross S Wickstrom, CNP
• Michael Travis Wildermuth, R.PH
• Blain Michael Williams, PT
• Sara Marie Williams, AUD, CCC-A

• Addiction (Substance Use Disorder) Counselor in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.