Angelia K Dussia, MA, PCC, CDCA
Individual provider Active NPI Professional Counselor · Medway, OH
NPI 1154490936 · NPPES record last updated Jan 24, 2008
Key facts
- NPI
- 1154490936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C0500552 (OH)
- Practice address
- 2675 Medway New Carlisle Rd
Medway, OH 45341-9744 - Phone
- (937) 849-1257
- Fax
- (937) 849-1336
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3460 S Dixie Dr
Moraine, OH 45439-2321
616 N Limestone St
Suite 100
Springfield, OH 45503-4161
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260106003401 | OH | Practitioner - Mental Health Counselor | 5597251819 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0500552 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citilookout | Current |
Accepting new patients | |
| Angelia K Dussia Dba Aletheia Counseling Center, LLC | Past | Accepting new patients |
Locations
616 N Limestone St
Ste 100
Springfield, OH 45503
Phone (937) 322-6532
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C0500552 | OH | Yes |
Addresses
Primary practice location
2675 Medway New Carlisle Rd
Medway, OH 45341-9744
Mailing address
2675 Medway New Carlisle Rd
Medway, OH 45341-9744
Phone (937) 849-1257
Other providers in Medway, OH
- Angelia K Dussia Dba Aletheia Counseling Center, LLC
- Bethel Township Trustees
- Maryka Anne Biermann
- Amber E Bolin
- Loretta Coffey
- Lynn Marie Farney
- Barbara L Farrell I
- Kent W Freeland
- Penny Hines
- Garnet K.B. Holliday
All providers in Medway, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.