Active NPI
Teresa N. Fears LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Dayton, OH
National Provider Identifier
1679978571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 201412600828
- Legal business name
- TERESA N. FEARS LLC
- Practice address
- 1 Elizabeth PL Ste 1180
Dayton, OH 45417-3445 - Phone
- (937) 274-4369
- NPI assigned
- Nov 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa NA'More Fears, LICDC
- Title
- Clinical Director
- Phone
- (937) 274-4369
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 201412600828 | OH | Primary |
Addresses
Primary practice location
1 Elizabeth PL Ste 1180
Dayton, OH 45417-3445
Mailing address
1 Elizabeth PL Ste 1180
Dayton, OH 45417-3445
Phone (937) 274-4369
National Provider Directory
National Provider DirectoryLocations
1 Elizabeth Pl
Ste 1180
Dayton, OH 45417
Phone (937) 274-4369
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Dayton, OH
- NPI 1669878831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415059200000",
"number": "1679978571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ELIZABETH PL STE 1180",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173445",
"telephone_number": "937-274-4369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELIZABETH PL STE 1180",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173445",
"telephone_number": "937-274-4369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERESA N. FEARS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-04",
"last_updated": "2014-11-04",
"status": "A",
"authorized_official_last_name": "FEARS",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "NA'MORE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "937-274-4369",
"authorized_official_credential": "LICDC"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "OH",
"license": "201412600828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.