Individual provider Active NPI

Matthew Schweyer, LICDC-CS

  • Addiction (Substance Use Disorder) Counselor
  • Lima, OH
National Provider Identifier
1396159018
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LICDC-CS 933479 Issued in OH
Practice address
2238 N West St
Lima, OH 45801-2038
Phone
(419) 224-8000
Fax
(419) 998-5615
NPI assigned
Jun 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC-CS 933479 OH Primary

Addresses

Primary practice location

2238 N West St
Lima, OH 45801-2038

Mailing address

4382 Township Road 27
Bluffton, OH 45817-9646
Phone (419) 236-6969

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
LICDC-CS 933479OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1396159018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4382 TOWNSHIP ROAD 27",
            "city": "BLUFFTON",
            "state": "OH",
            "postal_code": "458179646",
            "telephone_number": "419-236-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012038",
            "telephone_number": "419-224-8000",
            "fax_number": "419-998-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEYER",
        "first_name": "MATTHEW",
        "credential": "LICDC-CS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC-CS 933479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.