Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth James Shiverdecker, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1629715248

Kenneth James Shiverdecker, CDCA is an Addiction (Substance Use Disorder) Counselor in Cincinnati, Ohio. Licensed in Ohio. Registered with an NPI since 2022.

Licensed in
OH
In the registry since
2022

Practice location Address checks out

3009 Burnet Ave
Cincinnati, OH 45219-2419
Phone: (513) 872-8880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.178622 (OH)

Record details

NPI number1629715248
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorNo
NPI enumeratedMay 16, 2022
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022

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