Individual provider Active NPI

Martin Reinkemeyer, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Youngstown, OH
National Provider Identifier
1700327400
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA 120601 Issued in OH
Practice address
1625 Meadowbrook Ave
Youngstown, OH 44514-1160
Phone
(330) 240-1815
NPI assigned
Mar 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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 120601 OH Primary

Addresses

Primary practice location

1625 Meadowbrook Ave
Youngstown, OH 44514-1160

Mailing address

1625 Meadowbrook Ave
Youngstown, OH 44514-1160
Phone (330) 240-1815

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 120601OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1700327400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MEADOWBROOK AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141160",
            "telephone_number": "330-240-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEADOWBROOK AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141160",
            "telephone_number": "330-240-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKEMEYER",
        "first_name": "MARTIN",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA 120601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.