Individual provider Active NPI

Nicole Elizabeth Darcy, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Xenia, OH
National Provider Identifier
1659919454
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.175067 Issued in OH
Practice address
765 N Detroit St
Xenia, OH 45385-1960
Phone
(937) 505-1877
Fax
(800) 480-7579
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.175067 OH Primary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X APS.003339 OH
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

765 N Detroit St
Xenia, OH 45385-1960

Mailing address

2397 State Route 54
Urbana, OH 43078-9215
Phone (937) 626-5181

Other identifiers 1

IdentifierTypeStateIssuer
0383993MedicaidOH

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
CDCA.175067OHMDAddiction (Substance Use Disorder) Counselor
APS.003339OHMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1659919454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2397 STATE ROUTE 54",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789215",
            "telephone_number": "937-626-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 N DETROIT ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851960",
            "telephone_number": "937-505-1877",
            "fax_number": "800-480-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARCY",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.175067",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.003339",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0383993",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.