Active NPI
Debra Ann McCale, C.D.C.A.
- Addiction (Substance Use Disorder) Counselor
- Youngstown, OH
National Provider Identifier
1629550207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.167377
- 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
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 | 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
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 |
|---|---|---|---|
| CDCA.167377 | OH | MD | Addiction (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.