Individual provider Active NPI

Benjamin Bluitt, LCDCII

  • Addiction (Substance Use Disorder) Counselor
  • Toledo, OH
National Provider Identifier
1730558099
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCDC.091076-2 Issued in OH
Practice address
919 Madison Ave
Toledo, OH 43604-5533
Phone
(567) 316-7253
Fax
(567) 316-7232
NPI assigned
Sep 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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 LCDC.091076-2 OH Primary

Addresses

Primary practice location

919 Madison Ave
Toledo, OH 43604-5533

Mailing address

919 Madison Ave
Toledo, OH 43604-5533
Phone (567) 316-7253

Other identifiers 1

IdentifierTypeStateIssuer
0119089MedicaidOH

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
LCDC.091076-2OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered for Excellence Behavioral Health Ohio Past Accepting new patients
Empowered for Excellence Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/empoweredforexcellence/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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1730558099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MADISON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045533",
            "telephone_number": "567-316-7253",
            "fax_number": "567-316-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MADISON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045533",
            "telephone_number": "567-316-7253",
            "fax_number": "567-316-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUITT",
        "first_name": "BENJAMIN",
        "credential": "LCDCII",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDC.091076-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119089",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.