Timothy Paul Alford, LICDC, CDCA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Mason, OH
NPI 1700491982 · NPPES record last updated Jul 28, 2021
Key facts
- NPI
- 1700491982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LICDC.162183 (OH)
- Practice address
- 4483 US North 42
Mason, OH 45040-1934 - Phone
- (513) 834-7063
- NPI assigned
- Sep 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.175980 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| LICDC.162183 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.175980 | OH | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.162183 | OH | Yes |
Addresses
Primary practice location
4483 US North 42
Mason, OH 45040-1934
Mailing address
615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (513) 834-7063
Other practice location 1
515 Dayton St
Hamilton, OH 45011-3455
Phone (513) 868-7654
Other providers in Mason, OH
- Hector Alcala
- Abigail Marie Aldridge
- Alexa Way LLC
- Lavysh Alexander
- Maryssa Alford
- All Caring Hospice Cincinnati Dayton LLC
- Jane S Allemang
- Darla Allen
- Martha Morgan Allen
- Jeanette L Allender
All providers in Mason, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.