Individual provider Active NPI

Adam E Burnfin, CDCA II

  • Addiction (Substance Use Disorder) Counselor
  • Toledo, OH
National Provider Identifier
1518646405
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA186024 Issued in OH
Practice address
4352 W Sylvania Ave Ste a
Toledo, OH 43623-3441
Phone
(419) 561-5433
NPI assigned
Jul 17, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X CDCA186024 OH Primary

Addresses

Primary practice location

4352 W Sylvania Ave Ste a
Toledo, OH 43623-3441

Mailing address

244 N Enterprise St Apt E
Bowling Green, OH 43402-2545
Phone (614) 264-1733

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
CDCA186024OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1518646405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 N ENTERPRISE ST APT E",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022545",
            "telephone_number": "614-264-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4352 W SYLVANIA AVE STE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233441",
            "telephone_number": "419-561-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNFIN",
        "first_name": "ADAM",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "CDCA II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA186024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.