Active NPI
Katrina Jean Wyche, ED.D., OCPC, CDCA
- Addiction (Substance Use Disorder) Counselor
- Cincinnati, OH
National Provider Identifier
1003529868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.181204
- Practice address
- 203 E Galbraith Rd
Cincinnati, OH 45216-1353 - Phone
- (513) 948-0023
- Fax
- (513) 948-0087
- NPI assigned
- Dec 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.181204 | OH | Primary |
| Prevention Professional | 405300000X | OCPC.161325 | OH |
Addresses
Primary practice location
203 E Galbraith Rd
Cincinnati, OH 45216-1353
Mailing address
15 Vale Ave Apt 6
Wyoming, OH 45215-2160
Phone (513) 580-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.181204 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| OCPC.161325 | OH | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672012800000",
"number": "1003529868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 VALE AVE APT 6",
"city": "WYOMING",
"state": "OH",
"postal_code": "452152160",
"telephone_number": "513-580-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 E GALBRAITH RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452161353",
"telephone_number": "513-948-0023",
"fax_number": "513-948-0087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYCHE",
"first_name": "KATRINA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "ED.D., OCPC, CDCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-26",
"last_updated": "2022-12-26",
"certification_date": "2022-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.181204",
"primary": true
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "OH",
"license": "OCPC.161325",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.