Active NPI
David Hunter, LPC, CDCA
- Counselor
- Canton, OH
National Provider Identifier
1801267760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C 1500021
- Practice address
- 5860 Fulton Dr NW
Canton, OH 44718-1752 - Phone
- (330) 205-1316
- NPI assigned
- Oct 16, 2015
- Last updated
- Apr 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C 1500021 | OH | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C 1500021 | OH | |
| Mental Health Counselor | 101YM0800X | C 1500021 | OH | |
| Professional Counselor | 101YP2500X | C 1500021 | OH |
Addresses
Primary practice location
5860 Fulton Dr NW
Canton, OH 44718-1752
Mailing address
162 Saratoga Ave NW
Canton, OH 44708-5768
Phone (234) 207-0540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2901131 | Medicaid | OH |
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 |
|---|---|---|---|
| C 1500021 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1801267760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 SARATOGA AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447085768",
"telephone_number": "234-207-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5860 FULTON DR NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447181752",
"telephone_number": "330-205-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "DAVID",
"credential": "LPC, CDCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-16",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C 1500021",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "C 1500021",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C 1500021",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C 1500021",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2901131",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.