MR. SCOTT EDMOND CULVER CDCA NPI 1548830680

NPI Information

NPI: 1548830680
Provider Name: MR. SCOTT EDMOND CULVER, CDCA
Classification: Counselor - 101Y00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
302 W MAIN ST
FAIRBORN, OH
ZIP 45324
Phone: (937) 281-4673
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MR. Scott Edmond Culver, CDCA is a counselor in Fairborn, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Scott Edmond Culver, CDCA NPI is 1548830680. 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:

302 W MAIN ST
FAIRBORN, OH
ZIP 45324-037
Phone: (937) 281-4673
Fax: (937) 318-1120

The NPI 1548830680 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2021 and was last updated on 12/21/2023.

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
1	101Y00000X	Counselor		LICDC.162311	OHIO	Yes
2	101Y00000X	Counselor		C.2204618	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0453270	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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