Individual provider Active NPI

Linda M Clemen, M.A., LPCC, LSW

  • Professional Counselor
  • Milford, OH
National Provider Identifier
1023130481
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E-0002936 Issued in OH
Practice address
5720 Signal Hill CT Ste a
Milford, OH 45150-1481
Phone
(513) 831-9408
Fax
(513) 831-1333
NPI assigned
Apr 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X KY-0668 KY
Social Worker 104100000X S-0016187 OH
Professional Counselor 101YP2500X E-0002936 OH Primary

Addresses

Primary practice location

5720 Signal Hill CT Ste a
Milford, OH 45150-1481

Mailing address

5720 Signal Hill CT Ste a
Milford, OH 45150-1481
Phone (513) 831-9408

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240506001478 OH Practitioner - Mental Health Counselor 5890892582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven Katkin and Associates, IncGroup PAC ID 1456514751, 3 clinicians

Practice addresses (Care Compare)

5720 Signal Hill CT
Suite a
Milford, OH 45150-1481
Phone (513) 831-9408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
KY-0668KYMDProfessional Counselor
E-0002936OHMDProfessional Counselor
S-0016187OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Katkin & Associates, Inc CurrentSince Apr 22, 2024 Accepting new patients
Integrated Behavioral Services Inc PastSince Apr 1, 2001 Accepting new patients

Locations

5720 Signal Hill Ct
Ste A
Milford, OH 45150
Phone (513) 831-9408

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": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1023130481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 SIGNAL HILL CT STE A",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501481",
            "telephone_number": "513-831-9408",
            "fax_number": "513-831-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 SIGNAL HILL CT STE A",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501481",
            "telephone_number": "513-831-9408",
            "fax_number": "513-831-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMEN",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "M.A., LPCC, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "KY-0668",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S-0016187",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-0002936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.