David Pines Jr., LCDCIII

Key facts

NPI

1679958102

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor 101YA0400X

License

141005 (OH)

Practice address

14707 S Cheshire St
Burton, OH 44021-9601

Phone

(440) 887-1100

Fax

(440) 887-1103

NPI assigned

Jul 27, 2015

Sex

Male

Sole proprietor

No

Organizations & group practices 4

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.

• Abetterway LLC Community/Behavioral Health Agency · Parma, OH · NPI 1669110763
  NPD Authorized official ADDICTION (SUBSTANCE USE DISORDER)
• Abetterway LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Parma, OH · NPI 1871216754
  NPD
• McIntyre Center Inc. Community/Behavioral Health Agency · Parma, OH · NPI 1023453867
  NPD
• McIntyre Center Inc. Family Medicine Physician · Parma, OH · NPI 1265326839
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 2, 2026.

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1679958102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295650",
            "telephone_number": "440-887-1100",
            "fax_number": "440-887-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14707 S CHESHIRE ST",
            "city": "BURTON",
            "state": "OH",
            "postal_code": "440219601",
            "telephone_number": "440-887-1100",
            "fax_number": "440-887-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5360 Broadview Rd",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441347804",
            "country_code": "US",
            "telephone_number": "216-333-6233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6753 State Rd",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441344517",
            "country_code": "US",
            "telephone_number": "440-845-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6900 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441295650",
            "country_code": "US",
            "telephone_number": "440-887-1100 x128",
            "fax_number": "440-887-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINES",
        "first_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "LCDCIII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-27",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.001719",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "141005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0372835",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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