Individual provider Active NPI

Devon Joseph Hager, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
National Provider Identifier
1952011652
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.182834 Issued in OH
Practice address
2121 W 117TH St
Cleveland, OH 44111-1642
Phone
(216) 417-4831
Fax
(216) 417-0040
NPI assigned
Dec 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.182834 OH Primary

Addresses

Primary practice location

2121 W 117TH St
Cleveland, OH 44111-1642

Mailing address

2121 W 117TH St
Cleveland, OH 44111-1642
Phone (216) 417-4831

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address devonh@brileysoberhome.org

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
CDCA.182834OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
B. Riley Sober House Addiction (Substance Use Disorder) CurrentSince Dec 6, 2022 Accepting new patients
B. Riley Sober House CurrentSince May 21, 2023 Accepting new patients

Locations

2121 W 117th St
Cleveland, OH 44111
Phone (216) 417-4831

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1952011652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111642",
            "telephone_number": "216-417-4831",
            "fax_number": "216-417-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111642",
            "telephone_number": "216-417-4831",
            "fax_number": "216-417-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "DEVON",
        "middle_name": "JOSEPH",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.182834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "devonh@brileysoberhome.org",
            "affiliation": "N",
            "address_1": "2121 W 117th St",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441111642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.