EVERETT BUDDENBERG (LICDC) – Addiction (Substance Use Disorder) Counselor, NPI 1992355481

EVERETT BUDDENBERG (LICDC) is a healthcare provider. based in Chardon, Ohio. specializing in Addiction (Substance Use Disorder) Counselor. They hold the professional credentials LICDC. They hold a License No. C.2204755 (OH). The NPI Number for EVERETT BUDDENBERG (LICDC) is 1992355481

Main info

Male
Sole Proprietor
Name
EVERETT BUDDENBERG (LICDC)
NPI
1992355481
Phone
(440) 285-3568
Address
12557 RAVENWOOD DR
Enumeration Date
17 September 2019
Last Update Date
18 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Digital endpointsOther names

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Provider Addresses for EVERETT BUDDENBERG (LICDC)

  • Ravenwood Mental Health Center, 12557, Ravenwood Drive, Chardon, Claridon Township, Geauga County, Ohio, 44024, United States

    CHARDON, OH 440249009

    Phone: (440) 285-3568

    Type: Mailing

  • 101 PEMBROKE CT

    GREENSBURG, PA 156016404

    Phone: (724) 396-1510

    Fax: (724) 972-4627

    Type: Mailing

  • 1007 SOUTH BROADWAY

    GENEVA, OH 44041

    Phone: (724) 396-1510

    Fax: (724) 972-4627

    Type: Location

  • 6498 COTTONTAIL TRL

    BURLINGTON, KY 410059649

    Phone: (859) 202-4628

    Type: Mailing

  • 830 EZZARD CHARLES DR

    CINCINNATI, OH 452142525

    Phone: (513) 381-6672

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44024)

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Reviews

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Frequently asked questions

Is there an official ID for EVERETT BUDDENBERG (LICDC) in U.S. healthcare records?
The official identifier for EVERETT BUDDENBERG (LICDC) is NPI 1992355481.
Is there an active status for EVERETT BUDDENBERG (LICDC)?
For scheduling context, EVERETT BUDDENBERG (LICDC) is shown as active in the registry.
What kind of doctor is EVERETT BUDDENBERG (LICDC)?
EVERETT BUDDENBERG (LICDC) is associated with Addiction (Substance Use Disorder) Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is EVERETT BUDDENBERG (LICDC) associated with Chardon?
Public fields place EVERETT BUDDENBERG (LICDC) around Chardon, Ohio. Always confirm the exact site before visiting.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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