Jim Olderham, LPCC-S, CDCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1901459-SUPV Issued in OH

Practice address

325 S Elm St
Hillsboro, OH 45133-1305

Phone

(937) 661-1682

NPI assigned

Mar 14, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Talbert House

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1619900834
  Medicare reassignment NPD
• Real Life Solutions Counseling LLC

  • Mental Health Counselor
  • Hillsboro, OH
  • NPI 1669095766
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1013378470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S ELM ST",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451331305",
            "telephone_number": "937-661-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S ELM ST",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451331305",
            "telephone_number": "937-661-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDERHAM",
        "first_name": "JIM",
        "name_prefix": "Mr.",
        "credential": "LPCC-S, CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-14",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.120056",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1901459-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292528",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Renee Nlemchi, LPCC, LICDC
• Raejean Noble, LPCC-S, LICDC
• North High Family & Acute Care, LLC
• Arthur D Odom, LSW
• Ohio CVS Stores LLC
• Osler Medical Center, Inc.
• John Otto
• Julie Anne Overberg, DDS
• Sarah Louise Overstake, L.M.T.
• Oxymed Inc

• Professional Counselor in Hillsboro, OH
• Providers in Hillsboro, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.