Robert Michael Christian II, LSW, LCDC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

161513 Issued in OH

Practice address

3975 Kenneth Dr
Rootstown, OH 44272

Phone

(330) 850-5141

Fax

(330) 850-5349

NPI assigned

Mar 4, 2016

Last updated

Nov 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope Village LLC

  • Substance Abuse Rehabilitation Facility
  • Rootstown, OH
  • NPI 1063909612
  NPD (past)
• Hope Village LLC

  • Community/Behavioral Health Agency
  • Rootstown, OH
  • NPI 1316505019
  NPD (past)

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1720448608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 KENNETH DR",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729252",
            "telephone_number": "330-850-5141",
            "fax_number": "330-850-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 KENNETH DR",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "44272",
            "telephone_number": "330-850-5141",
            "fax_number": "330-850-5349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Community Health Center 725 E Market St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443052421",
            "country_code": "US",
            "telephone_number": "330-315-2626",
            "fax_number": "330-315-5230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_suffix": "II",
        "credential": "LSW, LCDC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-04",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Anne Bush, LPN
• Dawn Marie Carrington
• Simran Chandawarkar
• Lydia Corinne Chlpka
• Katie Chong, BA
• Adam Ciganik, PEER SUPPORTER
• Anthony Joseph Costa, MD
• Henyah Walid Dardir
• Sanjana Datla
• Romanie Louise Davis

• Addiction (Substance Use Disorder) Counselor in Rootstown, OH
• Providers in Rootstown, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.