Individual provider Active NPI

David J. Riccardi, LPCC, LICDC, NCC

  • Addiction (Substance Use Disorder) Counselor
  • Highland Heights, OH
National Provider Identifier
1497946958
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
E1269, 852145 Issued in OH
Practice address
5564 Wilson Mills Rd Ste 201
Highland Heights, OH 44143-3265
Phone
(440) 461-1255
Fax
(440) 461-1047
NPI assigned
Aug 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X E1269, 852145 OH Primary

Addresses

Primary practice location

5564 Wilson Mills Rd Ste 201
Highland Heights, OH 44143-3265

Mailing address

5564 Wilson Mills Rd Ste 201
Highland Heights, OH 44143-3265
Phone (440) 461-1255

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
E1269, 852145OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
RGN Counseling LLC Past Accepting new patients
KLS Counseling LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1497946958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 WILSON MILLS RD STE 201",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433265",
            "telephone_number": "440-461-1255",
            "fax_number": "440-461-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 WILSON MILLS RD STE 201",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433265",
            "telephone_number": "440-461-1255",
            "fax_number": "440-461-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCARDI",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "LPCC, LICDC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E1269, 852145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.