Individual provider Active NPI

Joshua Spradlin

  • Addiction (Substance Use Disorder) Counselor
  • Lancaster, OH
National Provider Identifier
1619648433
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.182949 Issued in OH
Practice address
1750 Granville Pike
Lancaster, OH 43130-1041
Phone
(833) 510-4357
Fax
(866) 460-2997
NPI assigned
Sep 22, 2021
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.182949 OH Primary

Addresses

Primary practice location

1750 Granville Pike
Lancaster, OH 43130-1041

Mailing address

502 McCarty LN Ste 1
Jackson, OH 45640-7025
Phone (740) 577-9003

Other practice location 1

502 McCarty Ln Ste 1
Jackson, OH 45640-7025
Phone (740) 577-9003

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jspradlin@thephoenixcenters.com Direct

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.182949OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1619648433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MCCARTY LN STE 1",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456407025",
            "telephone_number": "740-577-9003",
            "fax_number": "740-577-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 GRANVILLE PIKE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301041",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 McCarty Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "OH",
            "postal_code": "456407025",
            "country_code": "US",
            "telephone_number": "740-577-9003",
            "fax_number": "740-577-9184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRADLIN",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.182949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jspradlin@thephoenixcenters.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1007 N 2nd St",
            "city": "Ironton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456381235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.