Michael L Ague, CDCA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Youngstown, OH
NPI 1992374979 · NPPES record last updated Sep 30, 2022
Key facts
- NPI
- 1992374979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.182247 (OH)
- Practice address
- 527 N Meridian Rd
Youngstown, OH 44509-1227 - Phone
- (330) 797-0070
- Fax
- (330) 797-9146
- NPI assigned
- Jun 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
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.178607 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| CDCA.182247 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Family and Community Services | Past |
Accepting new patients | |
| Compass Family and Community Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.178607 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.182247 | OH | Yes |
Addresses
Primary practice location
527 N Meridian Rd
Youngstown, OH 44509-1227
Mailing address
527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0464362 | Medicaid | OH |
Other providers in Youngstown, OH
- Nicole Agani
- Alicia Lynn Agati
- Callie Rosemarie Agee
- Tierra Agee
- Scott M Agnew
- Gajender Ahlawat
- Nabia Nasreen Ahmad
- Ahs Ohio Clinical Laboratories, LLC
- Samia Kaur Ahuja
- Albert Aiad-Toss
All providers in Youngstown, 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 Sep 30, 2022. 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.