Jarrod Book, CMS | NPI 1912410069

Key facts

NPI: 1912410069
Entity type: Individual (NPI type 1)
Primary specialty: Addiction (Substance Use Disorder) Counselor 101YA0400X
License: CDCA.167899 (OH)
Practice address: 48 Private Drive 339
South Point, OH 45680
Phone: (740) 451-1455
NPI assigned: Nov 13, 2017
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
CDCA.167899	OH	MD	Addiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Case Manager/Care Coordinator	171M00000X
Addiction (Substance Use Disorder) Counselor	101YA0400X	CDCA.167899	OH	Yes

Addresses

Primary practice location

48 Private Drive 339
South Point, OH 45680

Mailing address

48 Private Drive 339
South Point, OH 45680-8919
Phone (740) 451-1455

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 28, 2018.

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1912410069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 PRIVATE DRIVE 339",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808919",
            "telephone_number": "740-451-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 PRIVATE DRIVE 339",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "45680",
            "telephone_number": "740-451-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOK",
        "first_name": "JARROD",
        "credential": "CMS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-13",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.167899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Point, OH

All providers in South Point, OH · Addiction (Substance Use Disorder) Counselor in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.