NPIMap

Organization Active NPI

Spauldng Addiction Services

  • Addiction (Substance Use Disorder) Counselor
  • Marion, OH
National Provider Identifier
1639894041
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SPAULDNG ADDICTION SERVICES
Practice address
2157 Firstenberger Rd
Marion, OH 43302-8792
Phone
(419) 222-5077
Fax
(740) 205-8593
NPI assigned
Oct 7, 2022
Last updated
Jul 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Melissa GreenwaldNPI 1154805638
Title
Billing Specialist
Phone
(740) 771-6387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

2157 Firstenberger Rd
Marion, OH 43302-8792

Mailing address

1037 W Market St
Lima, OH 45805-2729
Phone (740) 360-7811

Other identifiers 2

IdentifierTypeStateIssuer
0267505MedicaidOH
0000314MedicaidOH

National Provider Directory

National Provider Directory

Locations

1037 W Market St
Lima, OH 45805
Phone (419) 222-5077

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1639894041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052729",
            "telephone_number": "740-360-7811",
            "fax_number": "740-383-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 FIRSTENBERGER RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433028792",
            "telephone_number": "419-222-5077",
            "fax_number": "740-205-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPAULDNG ADDICTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "GREENWALD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "740-771-6387"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0267505",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000314",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.