Active NPI
Christopher Sean Shoemaker, CDCA
- Addiction (Substance Use Disorder) Counselor
- Mansfield, OH
National Provider Identifier
1497040810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA175081
- Practice address
- 280 N Main St
Mansfield, OH 44902-7317 - Phone
- (419) 524-5013
- Fax
- (419) 524-5021
- NPI assigned
- Jun 14, 2011
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA175081 | OH | Primary |
Addresses
Primary practice location
280 N Main St
Mansfield, OH 44902-7317
Mailing address
921 N Main St
Mansfield, OH 44903-8113
Phone (419) 524-5013
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
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA175081 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers of America Ohio & Indiana | Current | Accepting new patients | |
| Volunteers of America Ohio & Indiana | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
923 N Main St
Mansfield, OH 44903
Phone (419) 524-5013
921 N Main St
Mansfield, OH 44903
Phone (419) 524-5013
280 N Main St
Mansfield, OH 44902
Phone (419) 524-5013
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/voaohin/r4/
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.
-
- Addiction (Substance Use Disorder) Counselor
- Mansfield, OH
- NPI 1518580141
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1689294779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1497040810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 N MAIN ST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449038113",
"telephone_number": "419-524-5013",
"fax_number": "419-524-5021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N MAIN ST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449027317",
"telephone_number": "419-524-5013",
"fax_number": "419-524-5021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOEMAKER",
"first_name": "CHRISTOPHER",
"middle_name": "SEAN",
"credential": "CDCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-14",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA175081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.