SAM R FORD CDCA 11 NPI 1710674486

NPI Information

  • NPI: 1710674486
  • Provider Name: SAM R FORD, CDCA 11
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 500 MADISON AVE STE 340
    TOLEDO, OH
    ZIP 43604
  • Phone: (419) 360-8251

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NPI Details

Sam R Ford, CDCA 11 is an addiction (substance use disorder) counselor in Toledo, OH. Sam R Ford, CDCA 11 NPI is 1710674486. 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:

500 MADISON AVE STE 340
TOLEDO, OH
ZIP 43604-277
Phone: (419) 360-8251

The enumeration date for this NPI number is 4/21/2023 and was last updated on 4/21/2023.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)CDCA162201OHIOYes

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

NPI Synchronization or Removal

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