Teresa Bond
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ironton, OH
NPI 1992205702 · NPPES record last updated Mar 16, 2021
Key facts
- NPI
- 1992205702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.164686 (OH)
- Practice address
- 113 S 3Rd St
Ironton, OH 45638-1538 - Phone
- (740) 237-4702
- NPI assigned
- Feb 19, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.164686 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Services LLC | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
| Land of Goshen Treatment Center, Inc | Past |
Accepting new patients |
Locations
113 S 3rd St
Ironton, OH 45638
Phone (740) 237-4702
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.164686 | OH | Yes |
Addresses
Primary practice location
113 S 3Rd St
Ironton, OH 45638-1538
Mailing address
1312 S 5TH St
Ironton, OH 45638-2101
Phone (740) 307-2059
Other practice location 1
81 Township Road 349
Ironton, OH 45638-8617
Phone (740) 442-7706
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0164622 | Medicaid | OH |
Other providers in Ironton, OH
- Cindy Marie Boggs
- Emily Dawn Boggs
- Travis Boggs
- Dusty D Bond
- Mary Beth Bond
- William B Bond
- Samantha Jo Boothe
- Lorain Lynn Bowden
- Virginia Margaret Bowen
- Kasey Dale Bowersmith
All providers in Ironton, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.