John Corry, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA161819 Issued in OH

Practice address

4520 Oberlin Ave Ste 2
Lorain, OH 44053-3173

Phone

(216) 972-7261

Fax

(216) 916-4783

NPI assigned

May 3, 2017

Sex

Male

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 and National Provider Directory roles.

• First Alliance Healthcare of Ohio

  • Primary Care Clinic/Center
  • Woodmere, OH
  • NPI 1386235554
  NPD (past)
• Fortaleza,LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lorain, OH
  • NPI 1326463720
  NPD (past)
• Fortaleza,LLC

  • General Practice Physician
  • Lorain, OH
  • NPI 1427567445
  NPD (past)

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1831625391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 OBERLIN AVE STE 2",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533173",
            "telephone_number": "216-972-7261",
            "fax_number": "216-916-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 OBERLIN AVE STE 2",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533173",
            "telephone_number": "216-972-7261",
            "fax_number": "216-916-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRY",
        "first_name": "JOHN",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA161819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivonne A Cora Cosme
• Kelly Ann Cordova, LPN
• Doris Corlew
• Angela Corrao, LSW
• Corrigan Podiatry Group
• Heidi Lynn Corso
• Manuel Cortes, MD
• Neyscha Anayz Cortez
• Patricia Martinez Cortez, STNA #40099791109
• Steven Cotman, M.D.

• Addiction (Substance Use Disorder) Counselor in Lorain, OH
• Providers in Lorain, 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 Sep 25, 2020; 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.