Active NPI
Rhonda Burden, CDCA
- Addiction (Substance Use Disorder) Counselor
- Lima, OH
National Provider Identifier
1659755940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 150013
- Practice address
- 809 W Vine St
Lima, OH 45804-1054 - Phone
- (419) 222-4474
- Fax
- (419) 222-7044
- NPI assigned
- Jul 16, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 150013 | OH | Primary |
| Case Management Agency | 251B00000X | 150013 | OH |
Addresses
Primary practice location
809 W Vine St
Lima, OH 45804-1054
Mailing address
809 W Vine St
Lima, OH 45804-1054
Phone (419) 222-4474
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 |
|---|---|---|---|
| 150013 | OH | MD | Case Management Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1659755940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 W VINE ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458041054",
"telephone_number": "419-222-4474",
"fax_number": "419-222-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 W VINE ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458041054",
"telephone_number": "419-222-4474",
"fax_number": "419-222-7044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDEN",
"first_name": "RHONDA",
"credential": "CDCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-16",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "150013",
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "OH",
"license": "150013",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.