Avery K Chamblin Jr.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.186207 Issued in OH

Practice address

1569 State Route 28
Loveland, OH 45140-8429

Phone

(513) 575-0968

NPI assigned

Jun 27, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• L&J Healthcare, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Loveland, OH
  • NPI 1265709711
  NPD
• L&J Healthcare Dba Adams Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Loveland, OH
  • NPI 1669898920
  NPD (past)

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1386489771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25773 STATE ROUTE 41",
            "city": "PEEBLES",
            "state": "OH",
            "postal_code": "456608953",
            "telephone_number": "937-471-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 STATE ROUTE 28",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408429",
            "telephone_number": "513-575-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLIN",
        "first_name": "AVERY",
        "middle_name": "K",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-27",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.186207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Cartmell
• Erica Case
• Angela Caruso Caserta, MSW
• Haile Cavagnetto
• Celestialcare 3 LLC
• Da'Nautica Chandler
• Jason Edward Chandler, MS, LPCC-S, LICDC
• Brooke Lindsay Chaney, M.A., CCC-SLP
• David Arthur Chapin, BA, LCDCIII
• Tajee Childers-Whitfield, LPC

• Addiction (Substance Use Disorder) Counselor in Loveland, OH
• Providers in Loveland, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.