Nick Wayne Owens, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

131506 Issued in OH

Practice address

22639 Euclid Ave
Euclid, OH 44117-1622

Phone

(216) 404-1900

Fax

(216) 404-1901

NPI assigned

Mar 27, 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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1508361981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 PHILLIPS AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441084033",
            "telephone_number": "216-406-2280",
            "fax_number": "216-404-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22639 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171622",
            "telephone_number": "216-404-1900",
            "fax_number": "216-404-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "NICK",
        "middle_name": "WAYNE",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "131506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ottavo Health Oh, LLC
• Bonnie Outlaw
• Amirtha Varshana Owens, D.O
• Marcus Owens
• Miah Owens
• Courtney Rose Ownby, PA-C
• Elizabeth Susan Paganini, B.S.N,C.N.O.R,RNFA,
• Diamond Page, QMHS
• Silke Pagendarm, LPCC
• Nicole Paler

• Addiction (Substance Use Disorder) Counselor in Euclid, OH
• Providers in Euclid, 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 27, 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.