Individual provider Active NPI

Debra Ann McCale, C.D.C.A.

  • Addiction (Substance Use Disorder) Counselor
  • Youngstown, OH
National Provider Identifier
1629550207
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.167377 Issued in OH
Practice address
2151 Rush Blvd
Youngstown, OH 44507-1535
Phone
(330) 744-1181
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.167377 OH Primary

Addresses

Primary practice location

2151 Rush Blvd
Youngstown, OH 44507-1535

Mailing address

Neil Kennedy 2151 Rush Blvd.
Youngstown, OH 44507
Phone (330) 744-1181

Other names 1

  • Debra Ann Kutch Former name

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.167377OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1629550207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEIL KENNEDY 2151 RUSH BLVD.",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44507",
            "telephone_number": "330-744-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 RUSH BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071535",
            "telephone_number": "330-744-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALE",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "C.D.C.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.167377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "KUTCH",
            "middle_name": "ANN",
            "credential": "C.D.C.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.