Individual provider Active NPI

Christopher Weiderhold, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Loveland, OH
National Provider Identifier
1720738644
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
178658 Issued in OH
Practice address
1569 State Route 28
Loveland, OH 45140-8429
Phone
(513) 575-0968
Fax
(513) 575-1019
NPI assigned
Mar 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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 178658 OH Primary

Addresses

Primary practice location

1569 State Route 28
Loveland, OH 45140-8429

Mailing address

121 N Main St
Georgetown, OH 45121-1022
Phone (937) 483-4189

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
178658OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
L&J Healthcare, LLC CurrentSince Mar 27, 2022 Accepting new patients
L&J Healthcare Dba Adams Recovery Center, LLC PastSince Mar 27, 2022 Accepting new patients

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": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1720738644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N MAIN ST",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211022",
            "telephone_number": "937-483-4189",
            "fax_number": "937-378-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 STATE ROUTE 28",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408429",
            "telephone_number": "513-575-0968",
            "fax_number": "513-575-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDERHOLD",
        "first_name": "CHRISTOPHER",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "178658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.