Dalton Witt, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

172694 Issued in OH

Practice address

2863 State Route 45 N
Rock Creek, OH 44084-9352

Phone

(440) 563-3400

NPI assigned

Feb 9, 2022

Last updated

Feb 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1639823594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 N RIDGE RD E LOT 37",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 STATE ROUTE 45 N",
            "city": "ROCK CREEK",
            "state": "OH",
            "postal_code": "440849352",
            "telephone_number": "440-563-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "DALTON",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "172694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dalton.witt@glenbeigh.com",
            "affiliation": "N",
            "address_1": "2863 State Route 45 N",
            "city": "Rock Creek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440849352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keith Michael Walach, LPC, CAC
• Michelle Evette White
• Michael Wilhelm, CDCA
• Stevie Allison Williamson, LPC
• Tamela Wise, LPN
• Marleah Wolfe, LPCC-S; LICDC-CS
• Renee Zele-Wilber

• Addiction (Substance Use Disorder) Counselor in Rock Creek, OH
• Providers in Rock Creek, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.