SHANE D HUMPHREY CDCA
NPI 1013616408
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since February 24, 2023
1 ELIZABETH PL, DAYTON, OH 45417(937) 813-1737 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shane D Humphrey Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE D HUMPHREY CDCA (NPI 1013616408) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (CDCA.186047) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1013616408
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSHANE D HUMPHREYCredential: CDCA
Location Address1 ELIZABETH PLDayton, OH 45417-3445
Mailing Address1 Elizabeth PlDayton, OH 45417-3445 · (937) 813-1737
Sole ProprietorNo
Enumeration DateFebruary 24, 2023
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
NPI 1013616408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · CDCA.186047
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1 ELIZABETH PL, Dayton, OH 45417

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
1 ELIZABETH PL, 10 TH FLOOR SUITE 10B
DAYTON, OH 45417
Obstetrics & Gynecology
1 ELIZABETH PL, 5TH FLR, STE. M
DAYTON, OH 45417
Pharmacy (Community/Retail Pharmacy)
1 ELIZABETH PL, SUITE 150
DAYTON, OH 45417
Clinic/Center (Urgent Care)
1 ELIZABETH PL, SUITE 100
DAYTON, OH 45417
Surgery
1 ELIZABETH PL, SUITE 10A
DAYTON, OH 45417
Psychiatry & Neurology (Psychiatry)
1 ELIZABETH PL, SUITE G3
DAYTON, OH 45417
General Practice
1 ELIZABETH PL, STE 280
DAYTON, OH 45417
Physical Medicine & Rehabilitation
1 ELIZABETH PL
DAYTON, OH 45417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Humphrey's NPI number?

The NPI number for Shane Humphrey is 1013616408. It was assigned to this individual provider in the NPPES registry on February 24, 2023.

Where is Shane Humphrey located?

Shane Humphrey practices at 1 Elizabeth Pl, Dayton, OH 45417. The listed phone number is (937) 813-1737.

What is Shane Humphrey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shane Humphrey was last updated on November 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.