Individual provider Active NPI

Tiarra Gilbert

  • Addiction (Substance Use Disorder) Counselor
  • Warren, OH
National Provider Identifier
1386157303
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.184880 Issued in OH
Practice address
150 E Market St
Warren, OH 44481-1141
Phone
(330) 399-6451
Fax
(330) 394-6029
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.184880 OH Primary

Addresses

Primary practice location

150 E Market St
Warren, OH 44481-1141

Mailing address

150 E Market St
Warren, OH 44481-1141
Phone (330) 394-6342

Other practice location 1

38882 Mentor Ave
Willoughby, OH 44094-7875
Phone (440) 953-9999

Other practice location 2

318 Mahoning Ave NW
Warren, OH 44483-4605
Phone (330) 395-9563

Other practice location 3

4970 Belmont Ave
Youngstown, OH 44505-1018
Phone (330) 759-8237

Other practice location 4

143 Gougler Ave
Kent, OH 44240-2401
Phone (330) 677-4124

Other names 1

  • Tiarra St. Clair Former name

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.184880OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1386157303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811141",
            "telephone_number": "330-394-6342",
            "fax_number": "330-394-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811141",
            "telephone_number": "330-399-6451",
            "fax_number": "330-394-6029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38882 Mentor Ave",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440947875",
            "country_code": "US",
            "telephone_number": "440-953-9999",
            "fax_number": "440-918-3839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "318 Mahoning Ave NW",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444834605",
            "country_code": "US",
            "telephone_number": "330-395-9563",
            "fax_number": "330-393-5975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4970 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445051018",
            "country_code": "US",
            "telephone_number": "330-759-8237",
            "fax_number": "330-759-9532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "143 Gougler Ave",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "OH",
            "postal_code": "442402401",
            "country_code": "US",
            "telephone_number": "330-677-4124",
            "fax_number": "330-677-4134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "TIARRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.184880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIARRA",
            "last_name": "ST. CLAIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.

Verify at the official NPI Registry.