KENNETH M. BANCROFT LPCC-S LICDC-CS NPI 1649321324

NPI Information

NPI: 1649321324
Provider Name: KENNETH M. BANCROFT, LPCC-S, LICDC-CS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
150 E MARKET ST
WARREN, OH
ZIP 44481
Phone: (330) 399-6451
Get Directions

Kenneth M. Bancroft, LPCC-S, LICDC-CS is a professional counselor in Warren, OH. Kenneth M. Bancroft, LPCC-S, LICDC-CS NPI is 1649321324. 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:

150 E MARKET ST
WARREN, OH
ZIP 44481-141
Phone: (330) 399-6451
Fax: (330) 934-6266

The enumeration date for this NPI number is 1/16/2007 and was last updated on 1/17/2018.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	081074	OHIO	No
2	101YP2500X	Counselor	Professional	E0002540-SUPV	OHIO	Yes
3	104100000X	Social Worker		S12092	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	000000125407	OTHER	OHIO	ANTHEM
2	539304000	OTHER	OHIO	MAGELLAN

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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