Stephen Edward Wallingford

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2266 Wakefield Mound Rd
Piketon, OH 45661-9660

Phone

(740) 222-5720

NPI assigned

Aug 21, 2019

Last updated

Aug 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1326695610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BEVERLY AVE",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901542",
            "telephone_number": "740-222-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 WAKEFIELD MOUND RD",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619660",
            "telephone_number": "740-222-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLINGFORD",
        "first_name": "STEPHEN",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Dawn Umphries, CDCA, CPRS, QMHS
• Jasper Valentine, QMHS
• Gary Veach, LPN
• Vanessa Marie Waddle, LPTA
• Ashley Wagner, RT(R)
• Darlene Ward
• Jack Waters, LCDC-III, QMHS
• Lori A Watson, QMHS
• Elyse Waugh, CDCA
• Rhonda Webb

• Addiction (Substance Use Disorder) Counselor in Piketon, OH
• Providers in Piketon, 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 Aug 21, 2019; 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.