Individual provider Active NPI

Ronald Lynn Deblanc, MA-PSY, LDCIII, SWA

  • Addiction (Substance Use Disorder) Counselor
  • Dayton, OH
National Provider Identifier
1922387695
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
101064 Issued in OH
Practice address
1443 Steiner Ave
Dayton, OH 45417-3813
Phone
(937) 754-0528
NPI assigned
Aug 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 101064 OH Primary
Pastoral Counselor 101YP1600X

Addresses

Primary practice location

1443 Steiner Ave
Dayton, OH 45417-3813

Mailing address

PO Box 602
Fairborn, OH 45324-0602
Phone (937) 754-0528

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
101064OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resources of Enduring Hope Outreach Programs and Education, Inc. Addiction (Substance Use Disorder) Past Accepting new patients
Resources of Enduring Hope Outreach Program and Education, Inc. Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1922387695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453240602",
            "telephone_number": "937-754-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 STEINER AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173813",
            "telephone_number": "937-754-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBLANC",
        "first_name": "RONALD",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "MA-PSY, LDCIII, SWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "101064",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.