Healthcare Provider Details

I. General information

NPI: 1013842061
Provider Name (Legal Business Name): JAMES ELMERICK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 E MARKET ST
AKRON OH
44308-2036
US

IV. Provider business mailing address

323 S MAIN ST
AKRON OH
44308-1203
US

V. Phone/Fax

Practice location:
  • Phone: 888-202-4232
  • Fax:
Mailing address:
  • Phone: 888-202-4232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCAPRE.195265
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: