Melinda R McDaniel
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Burton, OH
NPI 1811596349 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1811596349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.169352 (OH)
- Practice address
- 14707 S Cheshire St
Burton, OH 44021-9601 - Phone
- (440) 887-1100
- Fax
- (440) 887-1103
- NPI assigned
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.169352 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McIntyre Center Inc. | Current |
Accepting new patients | |
| McIntyre Center Inc. | Past |
Accepting new patients |
Locations
14707 S Cheshire St
Burton, OH 44021
Phone 4408871100 ext. 243
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.169352 | OH | Yes |
Addresses
Primary practice location
14707 S Cheshire St
Burton, OH 44021-9601
Mailing address
6900 Ridge Rd
Parma, OH 44129-5650
Phone (440) 887-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0422176 | Medicaid | OH |
Other providers in Burton, OH
- Amber Housel
- Shannon Humberson
- John L Hardesty DDS Inc
- Patrick Casey Lennon
- Lighthouse Hope & Healing LLC
- Terri McIntee
- Elizabeth Anne Miller
- James D Mussler
- Anthony S Parrino
- Breanna Rose Pennypacker
All providers in Burton, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.