Active NPI
James Martin Romanchik Jr., CDCA-PRE
- Addiction (Substance Use Disorder) Counselor
- Wooster, OH
National Provider Identifier
1346061538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.190333
- Practice address
- 127 E Liberty St
Wooster, OH 44691-4395 - Phone
- (330) 636-1741
- NPI assigned
- Oct 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.190333 | OH | Primary |
Addresses
Primary practice location
127 E Liberty St
Wooster, OH 44691-4395
Mailing address
5965 Boneta Rd
Medina, OH 44256-8760
Phone (440) 465-7043
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 |
|---|---|---|---|
| CDCA.190333 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1346061538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5965 BONETA RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442568760",
"telephone_number": "440-465-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 E LIBERTY ST",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446914395",
"telephone_number": "330-636-1741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANCHIK",
"first_name": "JAMES",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CDCA-PRE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.190333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.