Active NPI
Teresa I Hobbs, CDCA
- Addiction (Substance Use Disorder) Counselor
- Concord Township, OH
National Provider Identifier
1871167866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 172766
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 172766 | 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": "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.