Daniel Leon McGlothren I, CDCA, LSW

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

0001707 Issued in OH

Practice address

64 Ridge Ave
Youngstown, OH 44502-1944

Phone

(330) 797-0070

NPI assigned

Dec 27, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Meridian Healthcare

  • Federally Qualified Health Center (FQHC)
  • Youngstown, OH
  • NPI 1841164365
  NPD (past)

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1922514090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N MERIDIAN RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091227",
            "telephone_number": "330-797-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 RIDGE AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021944",
            "telephone_number": "330-797-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLOTHREN",
        "first_name": "DANIEL",
        "middle_name": "LEON",
        "name_suffix": "I",
        "credential": "CDCA, LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.167583",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2005154",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "0001707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence M McGavin, CRNA
• Joyce Elaine McGee
• Daniella McGeorge
• Gail McGeorge
• Donald E McGhee
• Loganne P McGowan
• Matthew P McGuire, PT
• MCH Health and Wellness
• Sydney McIntyre
• Stephanie McJunkin

• Peer Specialist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.