Individual provider Active NPI

Ivy Rufina Voynovich, M.S. LCDC III

  • Addiction (Substance Use Disorder) Counselor
  • Cincinnati, OH
National Provider Identifier
1083085708
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
081062 Issued in OH
Practice address
5122 Glencrossing Way
Cincinnati, OH 45238-3361
Phone
(513) 827-9044
Fax
(513) 832-1332
NPI assigned
Oct 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 081062 OH Primary

Addresses

Primary practice location

5122 Glencrossing Way
Cincinnati, OH 45238-3361

Mailing address

5122 Glencrossing Way
Cincinnati, OH 45238-3361
Phone (513) 827-9044

Other practice location 1

816 Rudolph Way
Greendale, IN 47025-8312
Phone (812) 537-1668 ext. 161

Other practice location 2

816 Rudolph Way
Greendale, IN 47025-8312
Phone (812) 537-1668 ext. 161

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 Science

State licenses

LicenseStateTypeSpecialty
081062OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Treatment Centers Oh-VI, LLC Past Accepting new patients

Organizations & group practices 1

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": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083085708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 GLENCROSSING WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383361",
            "telephone_number": "513-827-9044",
            "fax_number": "513-832-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 GLENCROSSING WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383361",
            "telephone_number": "513-827-9044",
            "fax_number": "513-832-1332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "816 Rudolph Way",
            "address_purpose": "LOCATION",
            "city": "Greendale",
            "state": "IN",
            "postal_code": "470258312",
            "country_code": "US",
            "telephone_number": "812-537-1668 x161",
            "fax_number": "812-537-0418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "816 Rudolph Way",
            "address_purpose": "LOCATION",
            "city": "Greendale",
            "state": "IN",
            "postal_code": "470258312",
            "country_code": "US",
            "telephone_number": "812-537-1668 x161",
            "fax_number": "812-537-0418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOYNOVICH",
        "first_name": "IVY",
        "middle_name": "RUFINA",
        "name_prefix": "Mrs.",
        "credential": "M.S. LCDC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "081062",
            "primary": true
        }
    ],
    "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 Mar 17, 2018; 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.