NPIMap

Individual provider Active NPI

Daniel L Wirebaugh, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Bucyrus, OH
National Provider Identifier
1659624922
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.120806
Practice address
114 S Walnut St
Bucyrus, OH 44820-2324
Phone
(419) 562-2400
Fax
(419) 617-3771
NPI assigned
Oct 23, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Healthworks, LLC PastSince May 25, 2021 Accepting new patients
Affinity Healthworks LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.120806 Primary

Addresses

NPPES NPI Registry

Primary practice location

114 S Walnut St
Bucyrus, OH 44820-2324

Mailing address

PO Box 722
Bucyrus, OH 44820-0722
Phone (419) 562-2400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2012.

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1659624922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448200722",
            "telephone_number": "419-562-2400",
            "fax_number": "419-617-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S WALNUT ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202324",
            "telephone_number": "419-562-2400",
            "fax_number": "419-617-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIREBAUGH",
        "first_name": "DANIEL",
        "middle_name": "L",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "CDCA.120806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.