Leartis Clarence Day Jr.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

163309 Issued in OH

Practice address

209 W Woodland Ave
Youngstown, OH 44502-1866

Phone

(330) 787-9180

NPI assigned

Mar 19, 2018

Last updated

Mar 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1467956102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 W HYLDA AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112457",
            "telephone_number": "330-787-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W WOODLAND AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021866",
            "telephone_number": "330-787-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "LEARTIS",
        "middle_name": "CLARENCE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "163309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81-2009857",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharlotte Lee Dawson
• Sherrice Dawson
• T. L. Dawson, QMHS
• William Dawson
• Amanda Day, BCBA
• Samuel Ross Day, PHARMD
• Bimal Dayal, MD
• Robert Joseph Luna De Guzman, MD, MBA
• Jamiletzy De Jesus
• Alexis Lynn De la Cruz, DO

• Addiction (Substance Use Disorder) Counselor in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.