Active NPI
Robert Lind, LCDCIII
- Addiction (Substance Use Disorder) Counselor
- Fairfield, OH
National Provider Identifier
1841702354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCDCIII.161864
- Practice address
- 5108 Sandy LN
Fairfield, OH 45014-2738 - Phone
- (513) 834-7063
- Fax
- (513) 873-1567
- NPI assigned
- Oct 25, 2017
- 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 | LCDCIII.161864 | OH | Primary |
Addresses
Primary practice location
5108 Sandy LN
Fairfield, OH 45014-2738
Mailing address
446 Morgan St
Cincinnati, OH 45206-2348
Phone (513) 834-7063
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 |
|---|---|---|---|
| LCDCIII.161864 | 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": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1841702354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 MORGAN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452062348",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5108 SANDY LN",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450142738",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIND",
"first_name": "ROBERT",
"credential": "LCDCIII",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-25",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LCDCIII.161864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.