Individual provider Active NPI

Destiny Rose Alderman, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Circleville, OH
National Provider Identifier
1699511485
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.187692 Issued in OH
Practice address
327 E Mill St
Circleville, OH 43113-2029
Phone
(740) 500-1402
Fax
(740) 500-1718
NPI assigned
Jul 2, 2024
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.187692 OH Primary

Addresses

Primary practice location

327 E Mill St
Circleville, OH 43113-2029

Mailing address

29521 Kime Holderman Rd
Circleville, OH 43113-9433
Phone (740) 571-1436

Other practice location 1

430 N Memorial Dr
Lancaster, OH 43130-3052
Phone (614) 882-4343 ext. 5024

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

LicenseStateTypeSpecialty
CDCA.187692OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1699511485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29521 KIME HOLDERMAN RD",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139433",
            "telephone_number": "740-571-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 E MILL ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132029",
            "telephone_number": "740-500-1402",
            "fax_number": "740-500-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 N Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303052",
            "country_code": "US",
            "telephone_number": "614-882-4343 x5024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDERMAN",
        "first_name": "DESTINY",
        "middle_name": "ROSE",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.187692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.