Erica Smith, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.189305 Issued in OH

Practice address

620 W 44TH St
Ashtabula, OH 44004-6812

Phone

(440) 650-5030

NPI assigned

Apr 9, 2024

Sex

Female

Sole proprietor

Yes

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.

• Square One Health LLC

  • Substance Abuse Rehabilitation Facility
  • Ashtabula, OH
  • NPI 1568926376

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1861245979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W 44TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046812",
            "telephone_number": "440-650-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W 44TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046812",
            "telephone_number": "440-650-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERICA",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.189305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie A Skidmore, SLP
• Michaela Slater, LSW
• Bobbie Sleight
• Alex Smith, CDCA
• Charlene Smith
• Rebecca Smith, CDCA II
• Stacy Smith, MSW, LISW
• Sherry Lyn Snitcher, R.N. IBCLC
• William P Sockman, D.D.S.
• Micala M Socko, NP

• Addiction (Substance Use Disorder) Counselor in Ashtabula, OH
• Providers in Ashtabula, 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 Jul 17, 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.

Verify at the official NPI Registry.