John Henderson, CDCA
NPI 1386108066ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Fairborn, OH
Counselor, Addiction (Substance Use Disorder) (CDCA) in Fairborn, Ohio, licensed in OH, with an NPI issued in January 2019.
Overview
| NPI | 1386108066 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CDCA |
| Sole proprietor | No |
| NPI issued | Jan 26, 2019 |
| Last updated in NPPES | Dec 14, 2020 |
| Certified by provider | Dec 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | CDCA.167280 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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