Active NPI
Mark A Trogdon
- Addiction (Substance Use Disorder) Counselor
- Portsmouth, OH
National Provider Identifier
1982174777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- .175121
- Practice address
- 725 Court St
Portsmouth, OH 45662-3936 - Phone
- (740) 529-1191
- Fax
- (740) 529-0104
- NPI assigned
- Dec 5, 2018
- Last updated
- Oct 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | .175121 | OH | Primary |
Addresses
Primary practice location
725 Court St
Portsmouth, OH 45662-3936
Mailing address
800 Gallia St Ste 600
Portsmouth, OH 45662-4097
Phone (130) 496-2559
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 |
|---|---|---|---|
| .175121 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay Hash LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1982174777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 GALLIA ST STE 600",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624097",
"telephone_number": "130-496-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 COURT ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456623936",
"telephone_number": "740-529-1191",
"fax_number": "740-529-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROGDON",
"first_name": "MARK",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-05",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": ".175121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.