Caleb Ray Blevins, CDCA II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

163127 Issued in OH

Practice address

621 S Erie Hwy
Hamilton, OH 45011-4315

Phone

(513) 437-0493

NPI assigned

Apr 4, 2018

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

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1467958892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4561 WOOD FOREST LN",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031141",
            "telephone_number": "513-668-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S ERIE HWY",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450114315",
            "telephone_number": "513-437-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "CALEB",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "CDCA II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "163127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Blackburn
• Kimberly Blair
• Mark E Blankenburg, MD
• Brianna Hope Blanton
• Brenda Lynn Blevins
• Derrick Blevins, CDCA
• Madison Raelen Blevins
• Kimberly Bley, RN
• Morgan Ann Blumberg
• Shelly Nicolle Blythe

• Addiction (Substance Use Disorder) Counselor in Hamilton, OH
• Providers in Hamilton, 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 Apr 11, 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.