Active NPI
Timothy Slone
- Case Manager/Care Coordinator
- MC Dermott, OH
National Provider Identifier
1417899485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 9620 Careys Run Pond Creek Rd
MC Dermott, OH 45652-3902 - Phone
- (740) 858-6683
- NPI assigned
- Apr 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OH | ||
| Case Manager/Care Coordinator | 171M00000X | OH | Primary |
Addresses
Primary practice location
9620 Careys Run Pond Creek Rd
MC Dermott, OH 45652-3902
Mailing address
PO Box 402
Wheelersburg, OH 45694-0402
Phone (740) 858-6683
Other practice location 1
7175 State Route 104
Mc Dermott, OH 45652-8899
Phone (740) 858-6683
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moving Forward Residential LLC | Past | Accepting new patients | |
| Moving Forward Residential LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- MC Dermott, OH
- NPI 1811767684
-
- Community/Behavioral Health Agency
- MC Dermott, OH
- NPI 1871016691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1417899485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 402",
"city": "WHEELERSBURG",
"state": "OH",
"postal_code": "456940402",
"telephone_number": "740-858-6683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9620 CAREYS RUN POND CREEK RD",
"city": "MC DERMOTT",
"state": "OH",
"postal_code": "456523902",
"telephone_number": "740-858-6683"
}
],
"practiceLocations": [
{
"address_1": "7175 State Route 104",
"address_purpose": "LOCATION",
"city": "Mc Dermott",
"state": "OH",
"postal_code": "456528899",
"country_code": "US",
"telephone_number": "740-858-6683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLONE",
"first_name": "TIMOTHY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-08",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Dermott, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.