Active NPI
Lindsay Stauffer, CDCA
- Addiction (Substance Use Disorder) Counselor
- Newark, OH
National Provider Identifier
1619618402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 180228
- Practice address
- 74 Granville St
Newark, OH 43055-4910 - Phone
- (740) 345-5074
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- 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 | 180228 | OH | Primary |
Addresses
Primary practice location
74 Granville St
Newark, OH 43055-4910
Mailing address
23 Custer Rd Apt Suite
Heath, OH 43056-1313
Phone (740) 404-2214
Other practice location 1
69 Granville St
Newark, OH 43055-4983
Phone (740) 345-7030
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 |
|---|---|---|---|
| 180228 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer Halfway House, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Newark, OH
- NPI 1659429256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1619618402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CUSTER RD APT SUITE",
"city": "HEATH",
"state": "OH",
"postal_code": "430561313",
"telephone_number": "740-404-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 GRANVILLE ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430554910",
"telephone_number": "740-345-5074"
}
],
"practiceLocations": [
{
"address_1": "69 Granville St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "OH",
"postal_code": "430554983",
"country_code": "US",
"telephone_number": "740-345-7030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAUFFER",
"first_name": "LINDSAY",
"name_prefix": "Mrs.",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "180228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.