Individual provider Active NPI

William De'Angelo Stinchcomb, LPCC-S, CDCA

  • Counselor
  • Columbus, OH
National Provider Identifier
1689172967
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.2102107-SUPV Issued in OH
Practice address
465 Harmon Avenue
Columbus, OH 43223
Phone
(000) 000-0000
NPI assigned
Jan 31, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.110863 OH
Counselor 101Y00000X E.2102107-SUPV OH Primary

Addresses

Primary practice location

465 Harmon Avenue
Columbus, OH 43223

Mailing address

465 Harmon Avenue
Columbus, OH 43223

Other practice location 1

1586 E Main St
Columbus, OH 43205-2153
Phone (614) 347-9455

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2102107-SUPVOHMDCounselor
CDCA.110863OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Honey Counseling and Wellness Services LLC Counselor CurrentSince Dec 29, 2024 Accepting new patients
Recovery Innovations, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1689172967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 HARMON AVENUE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 HARMON AVENUE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43223",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1586 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052153",
            "country_code": "US",
            "telephone_number": "614-347-9455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STINCHCOMB",
        "first_name": "WILLIAM",
        "middle_name": "DE'ANGELO",
        "name_prefix": "Mr.",
        "credential": "LPCC-S, CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.110863",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.2102107-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.