Active NPI
James Huckleby Jr., LCDC III, RA
- Addiction (Substance Use Disorder) Counselor
- Columbus, OH
National Provider Identifier
1417498809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 101116
- Practice address
- 1409 E Livingston Ave
Columbus, OH 43205-2926 - Phone
- (614) 253-4448
- Fax
- (614) 253-5005
- NPI assigned
- Mar 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 101116 | OH | Primary |
| Behavior Technician | 106S00000X | 4417 | OH |
Addresses
Primary practice location
1409 E Livingston Ave
Columbus, OH 43205-2926
Mailing address
1409 E Livingston Ave
Columbus, OH 43205-2926
Phone (614) 253-4448
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 |
|---|---|---|---|
| 101116 | 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": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1417498809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 E LIVINGSTON AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052926",
"telephone_number": "614-253-4448",
"fax_number": "614-253-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 E LIVINGSTON AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052926",
"telephone_number": "614-253-4448",
"fax_number": "614-253-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUCKLEBY",
"first_name": "JAMES",
"name_suffix": "Jr.",
"credential": "LCDC III, RA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-17",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "101116",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": "4417",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.