MATTHEW GRAVELY CDCA NPI 1386239168

NPI Information

  • NPI: 1386239168
  • Provider Name: MATTHEW GRAVELY, CDCA
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 36 N DETROIT ST
    XENIA, OH
    ZIP 45385
  • Phone: (937) 610-4673

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NPI Details

Matthew Gravely, CDCA is an addiction (substance use disorder) counselor in Xenia, OH. Matthew Gravely, CDCA NPI is 1386239168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

36 N DETROIT ST
XENIA, OH
ZIP 45385-909
Phone: (937) 610-4673
Fax: (513) 737-1107

The enumeration date for this NPI number is 3/4/2021 and was last updated on 11/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)CDCA.181860OHIOYes
3106S00000XBehavior TechnicianNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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