Individual provider Active NPI

Joshua Croucher, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Ironton, OH
National Provider Identifier
1598523904
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.187461 Issued in OH
Practice address
1724 S 3Rd St
Ironton, OH 45638-2269
Phone
(740) 443-7143
NPI assigned
Mar 11, 2024
Sex
Male
Sole proprietor
Yes

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
CDCA.187461OHMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.187461 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

1724 S 3Rd St
Ironton, OH 45638-2269

Mailing address

1724 S 3Rd St
Ironton, OH 45638-2269
Phone (740) 443-7143

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 11, 2024.

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1598523904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382269",
            "telephone_number": "740-443-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382269",
            "telephone_number": "740-443-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCHER",
        "first_name": "JOSHUA",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.187461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.