Individual provider Active NPI

Eddie Arnold Kirkpatrick, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Bucyrus, OH
National Provider Identifier
1346359338
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
965736 Issued in OH
Practice address
2458 Stetzer Rd
Bucyrus, OH 44820-2066
Phone
(419) 562-2000
Fax
(419) 562-1296
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 965736 OH Primary
Mental Health Counselor 101YM0800X C0005393 OH

Addresses

Primary practice location

2458 Stetzer Rd
Bucyrus, OH 44820-2066

Mailing address

PO Box 765
Bucyrus, OH 44820-0765
Phone (419) 562-2000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
965736OHMDAddiction (Substance Use Disorder) Counselor
C0005393OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Services, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eddie.kirkpatrick.p1@direct.centerstreetclinic.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346359338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448200765",
            "telephone_number": "419-562-2000",
            "fax_number": "419-562-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 STETZER RD",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202066",
            "telephone_number": "419-562-2000",
            "fax_number": "419-562-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "EDDIE",
        "middle_name": "ARNOLD",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "965736",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C0005393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.