NPIMap

Individual provider Active NPI

Joslynn Elizabeth Pretty, MA, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Middletown, OH
National Provider Identifier
1013568419
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.188501 Issued in OH
Practice address
110 Bavarian St Apt B
Middletown, OH 45044-5448
Phone
(513) 567-0900
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Pharmacy Technician 183700000X 09312832 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.188501 OH Primary

Addresses

Primary practice location

110 Bavarian St Apt B
Middletown, OH 45044-5448

Mailing address

110 Bavarian St Apt B
Middletown, OH 45044-5448
Phone (513) 567-0900

Other identifiers 1

IdentifierTypeStateIssuer
0374351MedicaidOH

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CDCA.188501OHMDAddiction (Substance Use Disorder) Counselor
09312832OHMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Clinic Inc PastSince Nov 1, 2023 Accepting new patients
Central Clinic Outpatient Services Addiction (Substance Use Disorder) PastSince Nov 1, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/centralclinic/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1013568419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BAVARIAN ST APT B",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450445448",
            "telephone_number": "513-567-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BAVARIAN ST APT B",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450445448",
            "telephone_number": "513-567-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETTY",
        "first_name": "JOSLYNN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MA, CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OH",
            "license": "09312832",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.188501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0374351",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.