Individual provider Active NPI

Erica Elizabeth Radcliff, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Circleville, OH
National Provider Identifier
1831665959
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.169272 Issued in OH
Practice address
110 Highland Ave
Circleville, OH 43113-1208
Phone
(740) 477-1745
Fax
(740) 477-2779
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.169272 OH Primary

Addresses

Primary practice location

110 Highland Ave
Circleville, OH 43113-1208

Mailing address

110 Highland Ave
Circleville, OH 43113-1208
Phone (740) 477-1745

Other practice location 1

8219 Trimmer Rd
Stoutsville, OH 43154-9761
Phone (740) 248-0175

Other identifiers 1

IdentifierTypeStateIssuer
0329969MedicaidOH

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

LicenseStateTypeSpecialty
CDCA.169272OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1831665959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HIGHLAND AVE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131208",
            "telephone_number": "740-477-1745",
            "fax_number": "740-477-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HIGHLAND AVE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131208",
            "telephone_number": "740-477-1745",
            "fax_number": "740-477-2779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8219 Trimmer Rd",
            "address_purpose": "LOCATION",
            "city": "Stoutsville",
            "state": "OH",
            "postal_code": "431549761",
            "country_code": "US",
            "telephone_number": "740-248-0175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADCLIFF",
        "first_name": "ERICA",
        "middle_name": "ELIZABETH",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.169272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0329969",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.