Active NPI
Gregory Corban, LICDC-S
- Counselor
- Hamilton, OH
National Provider Identifier
1629510706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- ICDC.912971-CS
- Practice address
- 820 S Martin Luther King Jr Blvd
Hamilton, OH 45011-3216 - Phone
- (513) 785-6807
- NPI assigned
- Nov 7, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | ICDC.912971-CS | OH | Primary |
Addresses
Primary practice location
820 S Martin Luther King Jr Blvd
Hamilton, OH 45011-3216
Mailing address
230 Ludlow St
Hamilton, OH 45011-2903
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 |
|---|---|---|---|
| ICDC.912971-CS | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1629510706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 LUDLOW ST",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450112903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 S MARTIN LUTHER KING JR BLVD",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450113216",
"telephone_number": "513-785-6807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBAN",
"first_name": "GREGORY",
"credential": "LICDC-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-07",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "ICDC.912971-CS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.