Nicholas Glenn Barracato
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Kent, OH
NPI 1720640709 · NPPES record last updated Dec 13, 2024
Key facts
- NPI
- 1720640709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.174561 (OH)
- Practice address
- 143 Gougler Ave
Kent, OH 44240-2401 - Phone
- (330) 677-4724
- NPI assigned
- Jul 1, 2019
- Sex
- Male
- Sole proprietor
- No
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.174561 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.174561 | OH | Yes |
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
143 Gougler Ave
Kent, OH 44240-2401
Mailing address
150 E Market St
Warren, OH 44481-1141
Phone (330) 399-6451
Other providers in Kent, OH
- Susan D Ball
- Albert Russell Barber
- Susan Barker
- Diana Barkman
- Allison Kay Barnette
- Anthony P Bartholomew
- Hannah Rose Bates
- Rachael Ann Bause
- Baymark Health Services of Ohio, Inc.
- Mar'Tazia Beach
All providers in Kent, 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 Dec 13, 2024. 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.