Individual provider Active NPI

Ryan D Fluharty, LSW

  • Social Worker
  • Saint Clairsville, OH
National Provider Identifier
1992311807
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2106767 Issued in OH
Practice address
68150 Bayberry Dr
Saint Clairsville, OH 43950-8547
Phone
(740) 996-7010
Fax
(740) 296-5680
NPI assigned
Sep 17, 2020
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2106767 OH Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

68150 Bayberry Dr
Saint Clairsville, OH 43950-8547

Mailing address

PO Box 94
Old Washington, OH 43768-0094
Phone (740) 432-5571

Other identifiers 1

IdentifierTypeStateIssuer
1992311807MedicaidOH

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
S.2106767OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Ohio Counseling Center, LLC. CurrentSince Sep 1, 2020 Accepting new patients
Southeastern Ohio Counseling Center, LLC. PastSince Sep 1, 2020 Accepting new patients

Locations

239A Old National Rd
Old Washington, OH 43768
Phone (740) 489-5571

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/southeasternohiocounseling/r4/

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, 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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1992311807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "OLD WASHINGTON",
            "state": "OH",
            "postal_code": "437680094",
            "telephone_number": "740-432-5571",
            "fax_number": "740-489-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68150 BAYBERRY DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508547",
            "telephone_number": "740-996-7010",
            "fax_number": "740-296-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUHARTY",
        "first_name": "RYAN",
        "middle_name": "D",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106767",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992311807",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.