Active NPI
Todd Wayne Farmer, LCDC III
- Addiction (Substance Use Disorder) Counselor
- Mansfield, OH
National Provider Identifier
1376901348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCDCIII.161129
- Practice address
- 580 Park Ave W
Mansfield, OH 44906-3722 - Phone
- (513) 834-7063
- NPI assigned
- Feb 5, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 161129 | OH | |
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDCIII.161129 | OH | Primary |
Addresses
Primary practice location
580 Park Ave W
Mansfield, OH 44906-3722
Mailing address
615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (513) 834-7063
Other practice location 1
1012 Odnr Mohican 51
Perrysville, OH 44864-9407
Phone (419) 994-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2910854 | Medicaid | OH |
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 |
|---|---|---|---|
| 161129 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| LCDCIII.161129 | 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": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1376901348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ELSINORE PL STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021457",
"telephone_number": "513-834-7063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 PARK AVE W",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449063722",
"telephone_number": "513-834-7063"
}
],
"practiceLocations": [
{
"address_1": "1012 Odnr Mohican 51",
"address_purpose": "LOCATION",
"city": "Perrysville",
"state": "OH",
"postal_code": "448649407",
"country_code": "US",
"telephone_number": "419-994-0300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARMER",
"first_name": "TODD",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "LCDC III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-05",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "161129",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LCDCIII.161129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2910854",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.