NPIMap

Organization Active NPI

Community Housing of Darke, Miami & Shelby Counties, Inc

  • Peer Specialist
  • Troy, OH
National Provider Identifier
1376007682
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
COMMUNITY HOUSING OF DARKE, MIAMI & SHELBY COUNTIES, INC
Practice address
1100 Wayne Ave Suite 4001
Troy, OH 45373
Phone
(937) 332-0021
Fax
(937) 332-7966
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Ms. Dorothy Crusoe, LPC
Title
Director
Phone
(931) 332-0021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

1100 Wayne Ave Suite 4001
Troy, OH 45373

Mailing address

1100 Wayne Ave Suite 4001
Troy, OH 45373
Phone (937) 332-0021

National Provider Directory

National Provider Directory
Tax ID family
Community Housing of Darke Miami Shelby Counties Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1376007682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WAYNE AVE SUITE 4001",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-332-0021",
            "fax_number": "937-332-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WAYNE AVE SUITE 4001",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-332-0021",
            "fax_number": "937-332-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOUSING OF DARKE, MIAMI & SHELBY COUNTIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "CRUSOE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "931-332-0021",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.