Active NPI
Dexter Riley Delay
- Addiction (Substance Use Disorder) Counselor
- Waverly, OH
National Provider Identifier
1821597261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1275589178
- Practice address
- 218 E North St
Waverly, OH 45690-1148 - Phone
- (740) 947-6727
- NPI assigned
- Feb 11, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1275589178 | OH | Primary |
Addresses
Primary practice location
218 E North St
Waverly, OH 45690-1148
Mailing address
218 E North St
Waverly, OH 45690-1148
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 |
|---|---|---|---|
| 1275589178 | 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": "1518307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518307200000",
"number": "1821597261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 E NORTH ST",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456901148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 E NORTH ST",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456901148",
"telephone_number": "740-947-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAY",
"first_name": "DEXTER",
"middle_name": "RILEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-11",
"last_updated": "2018-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "1275589178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.