Individual provider Active NPI

Monica Renee Seiffert, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Ashtabula, OH
National Provider Identifier
1669085536
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.180638 Issued in OH
Practice address
3418 Lake Ave
Ashtabula, OH 44004-5763
Phone
(440) 650-5030
NPI assigned
Aug 28, 2020
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 175888 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.180638 OH Primary
Peer Specialist 175T00000X NU

Addresses

Primary practice location

3418 Lake Ave
Ashtabula, OH 44004-5763

Mailing address

840 N Market St
Jefferson, OH 44047-9764
Phone (440) 858-6008

Other practice location 1

2737 Youngstown Rd SE
Warren, OH 44484-5002
Phone (330) 369-8022

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.180638OHMDAddiction (Substance Use Disorder) Counselor
175888OHMDSubstance Abuse Rehabilitation Facility

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Recovery of Warren LLC CurrentSince May 7, 2024 Accepting new patients
Square One Health LLC CurrentSince Jan 29, 2023 Accepting new patients
First Step Recovery of Warren LLC Addiction (Substance Use Disorder) CurrentSince Sep 8, 2025 Accepting new patients

Locations

2737 Youngstown Rd SE
Warren, OH 44484
Phone (330) 369-8022

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/wecaremoreohio/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1669085536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N MARKET ST",
            "city": "JEFFERSON",
            "state": "OH",
            "postal_code": "440479764",
            "telephone_number": "440-858-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045763",
            "telephone_number": "440-650-5030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2737 Youngstown Rd SE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444845002",
            "country_code": "US",
            "telephone_number": "330-369-8022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIFFERT",
        "first_name": "MONICA",
        "middle_name": "RENEE",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "175888",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.180638",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.