Active NPI
Robin D Neely
- Addiction (Substance Use Disorder) Counselor
- Toledo, OH
National Provider Identifier
1851049613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.179035
- Practice address
- 7140 Port Sylvania Dr
Toledo, OH 43617-1176 - Phone
- (567) 408-7242
- NPI assigned
- Mar 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.179035 | OH | Primary |
Addresses
Primary practice location
7140 Port Sylvania Dr
Toledo, OH 43617-1176
Mailing address
3909 Woodley Rd
Toledo, OH 43606-1169
Phone (419) 475-4449
Other practice location 1
1033 Devlac Grv
Bowling Green, OH 43402-4501
Phone (419) 352-6460
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 |
|---|---|---|---|
| CDCA.179035 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Toledo, OH
- NPI 1932510385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1851049613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 WOODLEY RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061169",
"telephone_number": "419-475-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7140 PORT SYLVANIA DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171176",
"telephone_number": "567-408-7242"
}
],
"practiceLocations": [
{
"address_1": "1033 Devlac Grv",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "OH",
"postal_code": "434024501",
"country_code": "US",
"telephone_number": "419-352-6460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEELY",
"first_name": "ROBIN",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-11",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.179035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.