Active NPI
Donna Watson
- Addiction (Substance Use Disorder) Counselor
- Cleveland, OH
National Provider Identifier
1740725167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 933686
- Practice address
- 11100 Saint Clair Ave
Cleveland, OH 44108-1943 - Phone
- (216) 664-2904
- Fax
- (216) 420-7744
- NPI assigned
- Dec 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 933686 | OH | Primary |
Addresses
Primary practice location
11100 Saint Clair Ave
Cleveland, OH 44108-1943
Mailing address
11100 Saint Clair Ave
Cleveland, OH 44108-1943
Phone (216) 664-2904
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 933686 | Medicaid | OH | |
| 933686 | Other | OH | SELF-PAY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 933686 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1740725167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 SAINT CLAIR AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441081943",
"telephone_number": "216-664-2904",
"fax_number": "216-420-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 SAINT CLAIR AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441081943",
"telephone_number": "216-664-2904",
"fax_number": "216-420-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "DONNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-20",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "933686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "933686",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELF-PAY",
"identifier": "933686",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.