Individual provider Active NPI

Samuel Thomas Hodge, LPC

  • Counselor
  • Cincinnati, OH
National Provider Identifier
1124817333
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.2305097 Issued in OH
Practice address
2453 Downing Dr Apt 1
Cincinnati, OH 45208-1102
Phone
(513) 728-9004
NPI assigned
May 5, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.2305097 OH Primary

Addresses

Primary practice location

2453 Downing Dr Apt 1
Cincinnati, OH 45208-1102

Mailing address

6545 Market Ave N Ste 100
Canton, OH 44721-2430
Phone (513) 728-9004

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
I20250919002601 OH Practitioner - Mental Health Counselor 8628572823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lets in Mental Health and Recovery LLCGroup PAC ID 0840728010, 3 clinicians

Practice addresses (Care Compare)

7162 Reading Rd
Suite 720
Cincinnati, OH 45237-3849
Phone (855) 219-4484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2305097OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lets in Mental Health & Recovery LLC CurrentSince Aug 8, 2025 Accepting new patients
Lets in Mental Health & Recovery LLC CurrentSince Aug 8, 2025 Accepting new patients

Locations

7162 Reading Rd
Ste 720
Cincinnati, OH 45237
Phone (419) 699-0257

7672 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 531-1025

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": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1124817333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 MARKET AVE N STE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212430",
            "telephone_number": "513-728-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2453 DOWNING DR APT 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081102",
            "telephone_number": "513-728-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "SAMUEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2305097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.