Organization Active NPI

Teresa N. Fears LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dayton, OH
National Provider Identifier
1679978571
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
201412600828 Issued in OH
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

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Teresa NA'More Fears, LICDCNPI 1669878831
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.