Individual provider Active NPI

Donna R Waford, LICDC, LSW

  • Addiction (Substance Use Disorder) Counselor
  • Cincinnati, OH
National Provider Identifier
1710615117
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
923364 Issued in OH
Practice address
109 W 66TH St
Cincinnati, OH 45216-1949
Phone
(513) 461-2158
NPI assigned
Aug 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X S0022964 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X 923364 OH Primary

Addresses

Primary practice location

109 W 66TH St
Cincinnati, OH 45216-1949

Mailing address

1612 Chase Ave
Cincinnati, OH 45223-2204
Phone (513) 541-7111

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
923364OHMDAddiction (Substance Use Disorder) Counselor
S0022964OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Overview Transitional Housing LLC CurrentSince Aug 14, 2022 Accepting new patients
Overview Transitional Housing LLC Addiction (Substance Use Disorder) CurrentSince Jan 21, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/overviewtransitionalhousing/r4/

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1710615117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 CHASE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452232204",
            "telephone_number": "513-541-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 66TH ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452161949",
            "telephone_number": "513-461-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAFORD",
        "first_name": "DONNA",
        "middle_name": "R",
        "credential": "LICDC, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0022964",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "923364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.