Individual provider Active NPI

Meranda Buffington, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Ironton, OH
National Provider Identifier
1336746288
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.177690 Issued in OH
Practice address
214 S 4TH St
Ironton, OH 45638-1610
Phone
(740) 532-3767
Fax
(740) 532-3385
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
No

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 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.177690OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Outreach Services, LTD Addiction (Substance Use Disorder) CurrentSince Jul 20, 2021 Accepting new patients
Spectrum Outreach Services, LTD PastSince Oct 11, 2020 Accepting new patients

Locations

214 S 4th St
Ironton, OH 45638
Phone (740) 532-3767

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NA OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.177690 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

214 S 4TH St
Ironton, OH 45638-1610

Mailing address

214 S 4TH St
Ironton, OH 45638-1610
Phone (740) 532-3767

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
NAMedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2021.

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1336746288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S 4TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381610",
            "telephone_number": "740-532-3767",
            "fax_number": "740-532-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S 4TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381610",
            "telephone_number": "740-532-3767",
            "fax_number": "740-532-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFINGTON",
        "first_name": "MERANDA",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "NA",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.177690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.