Active NPI
Aaron Young, CDCA QMHS
- Addiction (Substance Use Disorder) Counselor
- Lancaster, OH
National Provider Identifier
1801301130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.168912
- Practice address
- 1750 Granville Pike
Lancaster, OH 43130-1041 - Phone
- (513) 834-7063
- NPI assigned
- Dec 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 00510 | OH | |
| Mental Health Counselor | 101YM0800X | QMHS | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.168912 | OH | Primary |
Addresses
Primary practice location
1750 Granville Pike
Lancaster, OH 43130-1041
Mailing address
615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (513) 834-7063
Other practice location 1
111 S Broad St Ste 209
Lancaster, OH 43130-4383
Phone (440) 260-8300
Other practice location 2
411 Court St
Portsmouth, OH 45662-3932
Phone (740) 351-2718
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 |
|---|---|---|---|
| CDCA.168912 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 00510 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1801301130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ELSINORE PL STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021457",
"telephone_number": "513-834-7063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 GRANVILLE PIKE",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431301041",
"telephone_number": "513-834-7063"
}
],
"practiceLocations": [
{
"address_1": "111 S Broad St Ste 209",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "OH",
"postal_code": "431304383",
"country_code": "US",
"telephone_number": "440-260-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411 Court St",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "OH",
"postal_code": "456623932",
"country_code": "US",
"telephone_number": "740-351-2718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "AARON",
"credential": "CDCA QMHS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-08",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "00510",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "QMHS",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.168912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.