Active NPI
William Stonebraker III, LCDCIII
- Addiction (Substance Use Disorder) Counselor
- Milford, OH
National Provider Identifier
1669963302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 101081
- Practice address
- 25 Whitney Dr
Milford, OH 45150-8402 - Phone
- (513) 753-9964
- Fax
- (513) 753-9968
- NPI assigned
- May 29, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 101081 | OH | Primary |
Addresses
Primary practice location
25 Whitney Dr
Milford, OH 45150-8402
Mailing address
2540 Retford Dr
Cincinnati, OH 45231-1008
Phone (513) 309-8749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101081 | Other | OH | CHEMICAL DEPENDENCY COUNSELOR LICENSE |
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 |
|---|---|---|---|
| 101081 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1669963302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 RETFORD DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452311008",
"telephone_number": "513-309-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 WHITNEY DR",
"city": "MILFORD",
"state": "OH",
"postal_code": "451508402",
"telephone_number": "513-753-9964",
"fax_number": "513-753-9968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONEBRAKER",
"first_name": "WILLIAM",
"name_suffix": "III",
"credential": "LCDCIII",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-29",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "101081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHEMICAL DEPENDENCY COUNSELOR LICENSE",
"identifier": "101081",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.