CHARLES OLIVER CDCA
NPI 1164935284
Counselor - Addiction (Substance Use Disorder) in Portsmouth, OH

Q: What is Charles Oliver's NPI number?

The NPI number for Charles Oliver is 1164935284. It was assigned to this individual provider in the NPPES registry on November 11, 2017.

Q: What is Charles Oliver's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Oliver was last updated on November 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 11, 2017PECOS Enrolled

411 COURT ST, PORTSMOUTH, OH 45662(740) 354-6685 Get Directions Write a Review

NPPES record last updated: November 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 24, 2018, Nov 11, 2017 (2 updates tracked since 2017).

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About Charles Oliver Cdca NPPES

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

CHARLES OLIVER CDCA (NPI 1164935284) is an individual addiction (substance use disorder) provider in Portsmouth, Ohio, licensed in Ohio (150256) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164935284

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameCHARLES OLIVERCredential: CDCA

Location Address411 COURT STPortsmouth, OH 45662-3932

Mailing Address923 Findlay StPortsmouth, OH 45662-4148

Phone(740) 354-6685

Sole ProprietorYes

Enumeration DateNovember 11, 2017

Last NPPES UpdateNovember 24, 20182 updates tracked since enumeration

✔ NPI 1164935284 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 · 150256

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License QMHS3 (OH)

411 COURT ST, Portsmouth, OH 45662

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Oliver Cdca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

HEITH GRAY

Counselor (Addiction (Substance Use Disorder))