DAVID FATE CDCA
NPI 1295223428
Counselor - Addiction (Substance Use Disorder) in Lorain, OH

Q: What is David Fate's NPI number?

The NPI number for David Fate is 1295223428. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Q: What is David Fate'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 David Fate was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 24, 2018PECOS Enrolled

2115 W PARK DR, LORAIN, OH 44053(440) 989-4900(440) 282-4779 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About David Fate Cdca NPPES

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

DAVID FATE CDCA (NPI 1295223428) is an individual addiction (substance use disorder) provider in Lorain, Ohio and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295223428

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameDAVID FATECredential: CDCA

Location Address2115 W PARK DRLorain, OH 44053-1138

Mailing Address2115 W Park DrLorain, OH 44053-1138 · (440) 989-4900 · Fax (440) 282-4779

Phone(440) 989-4900

Fax(440) 282-4779

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateApril 24, 2018

✔ NPI 1295223428 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

2115 W PARK DR, Lorain, OH 44053

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Other Identifiers 1

OtherCDCA.164602OH · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.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)

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

PECOS PAC ID4981112935

PECOS Enrollment IDI20250801002028

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.

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.

EMILY WINFIELD OCPSA.161655

Prevention Professional