Daniel John Cuciak, PCC-S, LICDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.0500916 SUPV Issued in OH

Practice address

1455 S 4TH St
Columbus, OH 43207-1011

Phone

(614) 444-0800

Fax

(614) 444-1036

NPI assigned

Mar 23, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1497286298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S 4TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071011",
            "telephone_number": "614-444-0800",
            "fax_number": "614-444-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S 4TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071011",
            "telephone_number": "614-444-0800",
            "fax_number": "614-444-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCIAK",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PCC-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "151074",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0500916 SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Cubbison, DO
• Steven Cubbison, D.O.
• Lauren Taylor Cubellis, MS, RDN, LD
• Samuel Cubillos, MD
• Kelsey Cuccio
• Cheryl Cuckler, MED, BSN, RN, LSN
• Peter Malcolm Cuckow, MD
• Kelli Cuda, NP
• Yoka Cudjoe
• Michael T Cudnik, M.D.

• Professional Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.