James Eickel, CDCA, PRS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.176157 Issued in OH

Practice address

2065 Stoneridge Dr
Circleville, OH 43113-8956

Phone

(740) 500-1391

NPI assigned

Aug 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Full Circle Recovery of Circleville

  • Community/Behavioral Health Agency
  • Circleville, OH
  • NPI 1861137408
  NPD
• Full Circle Recovery of Circleville

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Circleville, OH
  • NPI 1922607266
  NPD

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1730853979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 STONERIDGE DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431138956",
            "telephone_number": "740-500-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 STONERIDGE DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431138956",
            "telephone_number": "740-500-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICKEL",
        "first_name": "JAMES",
        "credential": "CDCA, PRS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.176157",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Michelle Dunn
• Bradley Durkin, CDCA
• Christopher Eakin
• Erin Renea Edgar, QMHS BACHELORS
• Andria Edgington
• Megan M Elliott
• John Arthur Ellis, D.O.
• Kaitlyn Marie Ellsworth
• James D. Ely, D.D.S.
• Jeremy Alan Emerson, LPC, CDCA

• Addiction (Substance Use Disorder) Counselor in Circleville, OH
• Providers in Circleville, 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 Aug 2, 2021; 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.