Active NPI
Northeast Ohio Applied Health
- Addiction (Substance Use Disorder) Counselor
- Macedonia, OH
National Provider Identifier
1427316819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- NORTHEAST OHIO APPLIED HEALTH
- Practice address
- 8536 Crow Dr Ste 30
Macedonia, OH 44056-1900 - Phone
- (330) 467-0085
- Fax
- (330) 467-0094
- NPI assigned
- Apr 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darryl Mason
- Title
- Executive Directer
- Phone
- (330) 467-0085
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
8536 Crow Dr Ste 30
Macedonia, OH 44056-1900
Mailing address
8536 Crow Dr Ste 30
Macedonia, OH 44056-1900
Phone (330) 467-0085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3115444 | Medicaid | OH |
Other names 1
- NOAH
National Provider Directory
National Provider Directory- Tax ID family
- Noah
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Macedonia, OH
- NPI 1972810398
Locations
8536 Crow Dr
Ste 30
Macedonia, OH 44056
Phone (330) 467-0085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335225600000",
"number": "1427316819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8536 CROW DR STE 30",
"city": "MACEDONIA",
"state": "OH",
"postal_code": "440561900",
"telephone_number": "330-467-0085",
"fax_number": "330-467-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8536 CROW DR STE 30",
"city": "MACEDONIA",
"state": "OH",
"postal_code": "440561900",
"telephone_number": "330-467-0085",
"fax_number": "330-467-0094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST OHIO APPLIED HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-24",
"last_updated": "2012-04-24",
"status": "A",
"authorized_official_last_name": "MASON",
"authorized_official_first_name": "DARRYL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTER",
"authorized_official_telephone_number": "330-467-0085",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3115444",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NOAH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Macedonia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.