Michelle Rene Slack-Wright, CDCAP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA187706 Issued in OH

Practice address

3545 Lincoln Way E Ste B
Massillon, OH 44646-8624

Phone

(833) 510-4357

NPI assigned

Sep 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 10

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1861161598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 LINCOLN WAY E STE B",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468624",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK-WRIGHT",
        "first_name": "MICHELLE",
        "middle_name": "RENE",
        "credential": "CDCAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA187706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Brightview",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3545 Lincoln Way E Ste B",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446468624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.peopleplacesanddreams.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "People Places and Dreams LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25201 Chagrin Blvd Ste 390",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441225637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Brightview",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3545 Lincoln Way E Ste B",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446468624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Brightview",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3545 Lincoln Way E Ste B",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446468624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Brightview",
            "affiliation": "N",
            "address_1": "3545 Lincoln Way E Ste B",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446468624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Brightview",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3545 Lincoln Way E Ste B",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446468624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Brightview",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3545 Lincoln Way E Ste B",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446468624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Brightview",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3545 Lincoln Way E Ste B",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446468624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Brightview",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3545 Lincoln Way E Ste B",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446468624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Brightview",
            "affiliation": "N",
            "address_1": "3545 Lincoln Way E Ste B",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446468624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael L Simonson, M.D.
• Shirley L Simpson, LPN
• Tiffany Star Skillern, MACCCSLP
• Evangelia E Sklavenitis, R.PH.
• Cinda Marie Skyllas, RN
• Delia Marasigan Slaga, MD
• Micheal Wayne Slater
• Julie Sue Slaughter, OTR
• Joseph A Slentz, CDCA
• Abby Marie Smith, RN

• Addiction (Substance Use Disorder) Counselor in Massillon, OH
• Providers in Massillon, 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 Jan 31, 2025; 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.