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ERIC DOUGLASS
NPI 1922572221
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since January 20, 2019
4977 NORTHCUTT PL, DAYTON, OH 45414(937) 387-6395 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 30, 2021, Jan 20, 2019 (2 updates tracked since 2019).

About Eric Douglass NPPES

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

ERIC DOUGLASS (NPI 1922572221) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (CDCA.150683) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1922572221
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameERIC DOUGLASS
Location Address4977 NORTHCUTT PLDayton, OH 45414-3839
Mailing Address4009 Foxboro DrDayton, OH 45416-1624
Phone(937) 387-6395
Sole ProprietorYes
Enumeration DateJanuary 20, 2019
Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
✔ NPI 1922572221 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 · CDCA.150683
4977 NORTHCUTT PL, Dayton, OH 45414
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Other Names 1

Other Name (5)Eric Douglass Cdca

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.

MS. MARSHA T RUSSELL CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
QUANICE LOCKE LCDCII
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 450-7790
JEWELIA ELLIS RN
Registered Nurse (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461
BETHANY DAWN GIBSON
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
MRS. SEMAJA BRENT
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
JILL GINTER CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
PATRICIA CLARK CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461
BLAINE ROWE PEER SUPPORT
Peer Specialist
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461

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 Eric Douglass's NPI number?

The NPI number for Eric Douglass is 1922572221. It was assigned to this individual provider in the NPPES registry on January 20, 2019. The provider is also known as Eric Douglass Cdca.

Where is Eric Douglass located?

Eric Douglass practices at 4977 Northcutt Pl, Dayton, OH 45414. The listed phone number is (937) 387-6395.

What is Eric Douglass'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 Eric Douglass was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.