Active NPI
Deaven Alan Swickheimer
- Professional Counselor
- Cincinnati, OH
National Provider Identifier
1548891328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2002272
- Practice address
- 830 Ezzard Charles Dr
Cincinnati, OH 45214-2525 - Phone
- (513) 381-6672
- NPI assigned
- Jan 30, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2002272 | OH | Primary |
Addresses
Primary practice location
830 Ezzard Charles Dr
Cincinnati, OH 45214-2525
Mailing address
3112 Hatfield CT
Columbus, OH 43232-5846
Phone (614) 352-7595
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 |
|---|---|---|---|
| 2002272 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1548891328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3112 HATFIELD CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432325846",
"telephone_number": "614-352-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 EZZARD CHARLES DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452142525",
"telephone_number": "513-381-6672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWICKHEIMER",
"first_name": "DEAVEN",
"middle_name": "ALAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "2002272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.