Active NPI
Joseph Liptak, CDCA
- Addiction (Substance Use Disorder) Counselor
- Lisbon, OH
National Provider Identifier
1386160356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.120820
- Practice address
- 40722 State Route 154
Lisbon, OH 44432-8500 - Phone
- (330) 424-9573
- Fax
- (330) 424-0877
- NPI assigned
- Aug 21, 2017
- 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.120820 | OH | Primary |
Addresses
Primary practice location
40722 State Route 154
Lisbon, OH 44432-8500
Mailing address
PO Box 429
Lisbon, OH 44432-0429
Phone (330) 424-9573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CDCA.120820 | Other | ND | CHEMICAL DEPENDENCY BOARD |
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.120820 | 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": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503273600000",
"number": "1386160356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 429",
"city": "LISBON",
"state": "OH",
"postal_code": "444320429",
"telephone_number": "330-424-9573",
"fax_number": "330-424-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40722 STATE ROUTE 154",
"city": "LISBON",
"state": "OH",
"postal_code": "444328500",
"telephone_number": "330-424-9573",
"fax_number": "330-424-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPTAK",
"first_name": "JOSEPH",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-21",
"last_updated": "2017-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.120820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHEMICAL DEPENDENCY BOARD",
"identifier": "CDCA.120820",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lisbon, OH
- Brianna Lee
- Shae R Lewis
- Shawna Lewis, CDCA
- Arthur Eugene Lightner Jr., CDCA
- Kate Linger
- Lisbon Exempted Village School District
- Lisbon Skilled Nursing and Residential Care, LLC
- Lisbon Skilled Nursing and Residential Care, LLC (Continuing Healthcare of Lisbon)
- Lisbon Skilled Nursing and Residential Care, LLC (Continuing Healthcare of Lisbon)
- Zihua Liu
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.