Timothy Beverly, CDCA
NPI 1194211409 · Addiction (Substance Use Disorder) Counselor · Fairborn, OH
Timothy Beverly, CDCA is a Addiction (Substance Use Disorder) Counselor provider in Fairborn, OH (NPI 1194211409).
Provider details
- NPI number
- 1194211409
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CDCA
- Sex
- Male
- Sole proprietor
- No
- License
- 070488 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-07-10
- Last updated
- 2024-01-25
- Certified
- 2024-01-25
Frequently asked questions
- What is Timothy Beverly's NPI number?
- Timothy Beverly's National Provider Identifier (NPI) is 1194211409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Beverly's specialty?
- Timothy Beverly is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Timothy Beverly located?
- Timothy Beverly's practice location on file with NPPES is 302 W Main St, Fairborn, OH 45324-5037.
- What is Timothy Beverly's phone number?
- The practice phone number listed in the NPPES registry for Timothy Beverly is (937) 281-4673.
- Is Timothy Beverly's NPI active?
- Yes — Timothy Beverly's NPI (1194211409) is active in the NPPES registry as of the last update on 2024-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.