Individual provider Active NPI

Charles Meyers Jr.

  • Counselor
  • Middletown, OH
National Provider Identifier
1447775002
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1131 Manchester Ave
Middletown, OH 45042-1925
Phone
(513) 383-7342
NPI assigned
Aug 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.164398 OH
Counselor 101Y00000X Primary

Addresses

Primary practice location

1131 Manchester Ave
Middletown, OH 45042-1925

Mailing address

1131 Manchester Ave
Middletown, OH 45042-1925
Phone (513) 383-7342

Other practice location 1

820 S Martin Luther King Jr Blvd
Hamilton, OH 45011-3216
Phone (513) 424-0921

Other practice location 2

1659 S Breiel Blvd
Middletown, OH 45044-6705
Phone (513) 424-0921

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
CDCA.164398OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1447775002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 MANCHESTER AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450421925",
            "telephone_number": "513-383-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 MANCHESTER AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450421925",
            "telephone_number": "513-383-7342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 S Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450113216",
            "country_code": "US",
            "telephone_number": "513-424-0921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1659 S Breiel Blvd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450446705",
            "country_code": "US",
            "telephone_number": "513-424-0921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "CHARLES",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.164398",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.