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David Pines Jr., LCDCIII

Counselor, Addiction (Substance Use Disorder) in Burton, OH. Individual provider (NPI-1).

NPI number1679958102
StatusActive
Last updated in NPPESFeb 2, 2026

Details

NPI
1679958102
Entity type
Individual (NPI-1)
Name
David Pines Jr.
Credential
LCDCIII
Sex
Male
Sole proprietor
No
Enumeration date
Jul 27, 2015
Certification date
Feb 2, 2026
Last updated
Feb 2, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)141005OHYes
171M00000X Case Manager/Care Coordinator––
175T00000X Peer SpecialistAPS.001719OH

Practice location

14707 S Cheshire St
Burton, OH 44021-9601

Phone 440-887-1100 · Fax 440-887-1103

Mailing address

6900 Ridge Rd
Parma, OH 44129-5650

Phone 440-887-1100 · Fax 440-887-1100

Other practice locations

6753 State Rd
Parma, OH 44134-4517

Phone 440-845-5522

6900 Ridge Rd
Parma, OH 44129-5650

Phone 440-887-1100 · Fax 440-887-1100

5360 Broadview Rd
Parma, OH 44134-7804

Phone 216-333-6233

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Addiction (Substance Use Disorder) Counselor providers in Burton, OH

All 5 Addiction (Substance Use Disorder) Counselor providers in Burton · All 64 providers in Burton

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