Active NPI
Justine Hundley, CDCA 2 SWA
- Addiction (Substance Use Disorder) Counselor
- Marion, OH
National Provider Identifier
1902347784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.163107
- Practice address
- 570 North Main Street
Marion, OH 43302 - Phone
- (513) 834-7063
- Fax
- (513) 873-1567
- NPI assigned
- Mar 14, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | W.1800112 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.163107 | OH | Primary |
Addresses
Primary practice location
570 North Main Street
Marion, OH 43302
Mailing address
615 Elsinore PL Ste 300
Cincinnati, OH 45202-1475
Phone (513) 834-7063
Other practice location 1
320 Executive Dr
Marion, OH 43302-6310
Phone (740) 387-5210
Other names 1
- Justine Nicole Pinkerton
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.163107 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| W.1800112 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1902347784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ELSINORE PL STE 300",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021475",
"telephone_number": "513-834-7063",
"fax_number": "740-914-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 NORTH MAIN STREET",
"city": "MARION",
"state": "OH",
"postal_code": "43302",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
}
],
"practiceLocations": [
{
"address_1": "320 Executive Dr",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "OH",
"postal_code": "433026310",
"country_code": "US",
"telephone_number": "740-387-5210",
"fax_number": "740-383-3472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUNDLEY",
"first_name": "JUSTINE",
"credential": "CDCA 2 SWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-14",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "W.1800112",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.163107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUSTINE",
"last_name": "PINKERTON",
"middle_name": "NICOLE",
"credential": "CDCA 2 SWA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.