David J Tieman, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0003164 SUPV Issued in OH

Practice address

1321 Research Park Dr
Beavercreek, OH 45432-2851

Phone

(937) 427-3837

Fax

(937) 427-4516

NPI assigned

Mar 10, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Integrated Youth Services Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dayton, OH
  • NPI 1710907597
  NPD (past)
• Integrated Youth Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beavercreek, OH
  • NPI 1518138031
  NPD (past)

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1043480627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 RESEARCH PARK DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322851",
            "telephone_number": "937-427-3837",
            "fax_number": "937-427-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 RESEARCH PARK DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322851",
            "telephone_number": "937-427-3837",
            "fax_number": "937-427-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEMAN",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0003164 SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia J Thomas, MD
• Mathew Michael Thomas
• Nichole Lynn Thomas, RN
• Elizabeth Joann Thomasson, LMT
• Michelle R Thompson
• Leslie Nurre Timperman, RN
• Michael J Timpone, M.D.
• Tklegacy
• James Vincent Tobin, MD
• Mara Tomaszewski, M.D.

• Mental Health Counselor in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.