Theresa A Nasinnyk, CDCA, MSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.150840 Issued in OH

Practice address

6929 W 130TH St Ste 307
Parma Heights, OH 44130-7822

Phone

(440) 887-1100

Fax

(440) 887-1103

NPI assigned

Jun 14, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McIntyre Center Inc.

  • Community/Behavioral Health Agency
  • Parma, OH
  • NPI 1023453867
  NPD (past)

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1801380746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 W 130TH ST STE 307",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307822",
            "telephone_number": "440-887-1100",
            "fax_number": "440-887-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 W 130TH ST STE 307",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307822",
            "telephone_number": "440-887-1100",
            "fax_number": "440-887-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASINNYK",
        "first_name": "THERESA",
        "middle_name": "A",
        "credential": "CDCA, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.150840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Parma Heights, OH
• Providers in Parma Heights, 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 Jun 16, 2018; 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.