Active NPI
Sebastian Rucci
- Addiction (Substance Use Disorder) Counselor
- Austintown, OH
National Provider Identifier
1588229124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.168037
- Practice address
- 1051 N Canfield Niles Rd
Austintown, OH 44515-1110 - Phone
- (800) 262-3742
- Fax
- (866) 816-9684
- NPI assigned
- May 9, 2019
- Last updated
- Feb 24, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.168037 | OH | Primary |
Addresses
Primary practice location
1051 N Canfield Niles Rd
Austintown, OH 44515-1110
Mailing address
1051 N Canfield Niles Rd
Austintown, OH 44515-1110
Phone (800) 262-3742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0342236 | Medicaid | OH |
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 |
|---|---|---|---|
| CDCA.168037 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Austintown, OH
- NPI 1306440292
-
- Primary Care Clinic/Center
- Austintown, OH
- NPI 1366045445
-
- Substance Abuse Rehabilitation Facility
- Austintown, OH
- NPI 1467993782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1588229124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 N CANFIELD NILES RD",
"city": "AUSTINTOWN",
"state": "OH",
"postal_code": "445151110",
"telephone_number": "800-262-3742",
"fax_number": "866-816-9684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 N CANFIELD NILES RD",
"city": "AUSTINTOWN",
"state": "OH",
"postal_code": "445151110",
"telephone_number": "800-262-3742",
"fax_number": "866-816-9684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCCI",
"first_name": "SEBASTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-09",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.168037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0342236",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austintown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.