Livinus C Uba, ICADC, LCDCIII, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

166426 Issued in KY

Practice address

3655 Winchester Ave
Ashland, KY 41101-2065

Phone

(606) 393-4632

Fax

(888) 411-4131

NPI assigned

Aug 7, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Amazing Grace Center Inc

  • Methadone Clinic
  • Portsmouth, OH
  • NPI 1205188588
  NPD
• Horizon Recovery

  • Multi-Specialty Clinic/Center
  • Warfield, KY
  • NPI 1235703596

  Addiction (Substance Use Disorder)

  NPD (past)
• Horizon Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Warfield, KY
  • NPI 1447187075
  NPD (past)
• Ultimate Care Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, KY
  • NPI 1306347208
  NPD (past)
• Ultimate Care Medical Services LLC

  • Methadone Clinic
  • Ashland, KY
  • NPI 1194954875

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1982951190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 WINCHESTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012065",
            "telephone_number": "606-393-4632",
            "fax_number": "888-411-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 WINCHESTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012065",
            "telephone_number": "606-393-4632",
            "fax_number": "888-411-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Hode Rd",
            "address_purpose": "LOCATION",
            "city": "Warfield",
            "state": "KY",
            "postal_code": "412678002",
            "country_code": "US",
            "telephone_number": "606-390-2262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UBA",
        "first_name": "LIVINUS",
        "middle_name": "C",
        "credential": "ICADC, LCDCIII, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "121019",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ZZ",
            "license": "710053",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ZZ",
            "license": "128644",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "166426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie Tussey, CSA
• Kristina Renee Tussey
• Naomi Twinam, RN
• Cierra Tygart-Reed, LPCA
• Marshall Tyson
• Ultimate Care Behavioral Health Services
• Ultimate Care Medical Services LLC
• Ultimate Care Medical Services LLC
• Ultimate Care Medical Services LLC
• Unified Psychiatry, PSC

• Addiction (Substance Use Disorder) Counselor in Ashland, KY
• Providers in Ashland, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.