Individual provider Active NPI

Thomas I Valentine, CDCA

  • Case Manager/Care Coordinator
  • South Point, OH
National Provider Identifier
1629785753
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
182341 Issued in OH
Practice address
520 Solida Rd
South Point, OH 45680-9347
Phone
(474) 646-0717
NPI assigned
Oct 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 182341 OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 182341 OH

Addresses

Primary practice location

520 Solida Rd
South Point, OH 45680-9347

Mailing address

520 Solida Rd
South Point, OH 45680-9347
Phone (474) 646-0717

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
182341OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Regal Recovery Care, LLC CurrentSince Sep 23, 2024 Accepting new patients
Southern Hope Recovery Center LLC PastSince Oct 1, 2022 Accepting new patients
Southern Hope Recovery Center LLC Addiction (Substance Use Disorder) PastSince Jun 4, 2023 Accepting new patients

Locations

520 Solida Rd
South Point, OH 45680
Phone (740) 523-0097

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1629785753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SOLIDA RD",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456809347",
            "telephone_number": "474-646-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SOLIDA RD",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456809347",
            "telephone_number": "474-646-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "THOMAS",
        "middle_name": "I",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "182341",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "182341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Point, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.