1. Home
  2. Directory
  3. Ohio
  4. Wooster
  5. Family Medicine
  6. NPI Profile

ONEEIGHTY
NPI 1164904843
Family Medicine - Addiction Medicine in Wooster, OH

Active since August 30, 2018CLIA 36D2127308 · Waiver
104 SPINK ST, WOOSTER, OH 44691(330) 264-8498 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Oneeighty NPPES

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

ONEEIGHTY (NPI 1164904843) is a healthcare organization registered as an addiction medicine in Wooster, Ohio and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through March 12, 2027 and lists Bobbi Douglas, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1164904843
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameONEEIGHTY, INC.
Location Address104 SPINK STWooster, OH 44691-3652
Mailing Address104 Spink StWooster, OH 44691-3652 · (330) 264-8498
Phone(330) 264-8498
Organization SubpartNo
Authorized OfficialBobbi DouglasExecutive Director · (330) 264-8498
Enumeration DateAugust 30, 2018
✔ NPI 1164904843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in OH · 34.010211
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
104 SPINK ST, Wooster, OH 44691
Open in Google Maps ↗

Other Names 1

Doing Business AsOneeighty

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2127308

One Eighty, Inc · Wooster, OH
Active · expires Mar 12, 2027
CLIA Number36D2127308
Laboratory TypeMh
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorBobbi Douglas
Laboratory Phone(330) 264-8498
Laboratory LocationOne Eighty, Inc104 Spink Street, Wooster, OH 44691
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MRS. DAWN E PETERS MA, LPCC
Counselor (Professional)
104 SPINK ST
WOOSTER, OH 44691
Wayne County (330) 264-8498
KARABELLA ROSE HERNANDEZ
Counselor (Addiction (Substance Use Disorder))
104 SPINK ST
WOOSTER, OH 44691
Wayne County (330) 264-8498
MR. JOHN CHRISTOPHER EASTON CDCA
Counselor (Addiction (Substance Use Disorder))
104 SPINK ST
WOOSTER, OH 44691
Wayne County (330) 264-8498
LAURIE L PEEL PC
Counselor
104 SPINK ST
WOOSTER, OH 44691
Wayne County (330) 804-3122
JAMIE GASSER CPRS
Peer Specialist
104 SPINK ST
WOOSTER, OH 44691
Wayne County (330) 264-8498
MS. CHERIE SHANKO LSW
Social Worker (Clinical)
104 SPINK ST
WOOSTER, OH 44691
Wayne County (330) 264-8498
AMBER LYN RAE PITTMAN
Counselor (Addiction (Substance Use Disorder))
104 SPINK ST
WOOSTER, OH 44691
Wayne County (330) 264-8498
MARSHA ROSENBERG RN
Registered Nurse
104 SPINK ST
WOOSTER, OH 44691
Wayne County (330) 264-8498

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 Oneeighty, Inc.'s NPI number?

The NPI number for Oneeighty, Inc. is 1164904843. It was assigned to this organization in the NPPES registry on August 30, 2018. The provider is doing business as Oneeighty.

Where is Oneeighty, Inc. located?

Oneeighty, Inc. is located at 104 Spink St, Wooster, OH 44691. The listed phone number is (330) 264-8498.

What is Oneeighty, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Oneeighty, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2127308) is associated with this NPI, valid through March 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Oneeighty, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Oneeighty, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oneeighty, Inc. was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.