Individual provider Active NPI

Teresa I Hobbs, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Concord Township, OH
National Provider Identifier
1871167866
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
172766 Issued in OH
Practice address
7301 Painesville Ravenna Rd
Concord Township, OH 44077-8928
Phone
(440) 354-3726
Fax
(440) 754-8029
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 172766 OH Primary

Addresses

Primary practice location

7301 Painesville Ravenna Rd
Concord Township, OH 44077-8928

Mailing address

7301 Painesville Ravenna Rd
Concord Township, OH 44077-8928
Phone (440) 354-3726

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.lgrc.us Health Information Exchange (HIE)

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
172766OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1871167866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 PAINESVILLE RAVENNA RD",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440778928",
            "telephone_number": "440-354-3726",
            "fax_number": "440-754-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 PAINESVILLE RAVENNA RD",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440778928",
            "telephone_number": "440-354-3726",
            "fax_number": "440-754-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "TERESA",
        "middle_name": "I",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "172766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.lgrc.us",
            "affiliation": "N",
            "endpointDescription": "employer web address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7301 Painesville Ravenna Rd",
            "city": "Concord Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440778928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.