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JAMES L SHIVELY II CDCA
NPI 1083108799
Counselor - Addiction (Substance Use Disorder) in Warren, OH

Active since June 15, 2018
1212 TOD PL NW, WARREN, OH 44485(330) 469-6822(330) 294-5641 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2023, Jul 21, 2023, Jun 15, 2018 (3 updates tracked since 2018).

About James L Shively Ii Cdca NPPES

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

JAMES L SHIVELY II CDCA (NPI 1083108799) is an individual addiction (substance use disorder) provider in Warren, Ohio, licensed in Ohio (LCDCII.161820) and active in the NPI registry since June 2018. He maintains a secondary practice location in Warren.

NPPES Registry Identity

NPI1083108799
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJAMES L SHIVELY IICredential: CDCA
Location Address1212 TOD PL NWWarren, OH 44485-2475
Mailing AddressPo Box 1212Warren, OH 44482-1212 · (330) 469-6822 · Fax (330) 294-5641
Phone(330) 469-6822
Fax(330) 294-5641
Sole ProprietorYes
Enumeration DateJune 15, 2018
Last NPPES UpdateMarch 11, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
✔ NPI 1083108799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · LCDCII.161820
1212 TOD PL NW, Warren, OH 44485
Open in Google Maps ↗

Secondary Practice Location 1

Location 12430 Parkman Rd NWWarren, OH 44485-1777 · Phone (330) 469-6822 · Fax (330) 294-5641

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.

KURT JASON ECKENRODE CPRS
Peer Specialist
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 469-6822
BRADLEY BOGGS CPRS
Peer Specialist
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (216) 777-9303
DAVID F LACHOWSKI CDCA
Counselor (Addiction (Substance Use Disorder))
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 469-6822
DAVID J MCWILLIAMS CDCA
Counselor (Addiction (Substance Use Disorder))
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 469-6822
FRANK KOTSOL CPRS
Peer Specialist
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 469-6822
COLE MYERS
Counselor (Addiction (Substance Use Disorder))
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 469-6822
JAMIE HAMNER
Counselor (Addiction (Substance Use Disorder))
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 469-6822
JOSHUA HUNT CPRS
Peer Specialist
1212 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 469-6822

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 James Shively's NPI number?

The NPI number for James Shively is 1083108799. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is James Shively located?

James Shively practices at 1212 Tod Pl NW, Warren, OH 44485. The listed phone number is (330) 469-6822.

What is James Shively'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 James Shively was last updated on March 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.