Active NPI
Angelia K Dussia, MA, PCC, CDCA
- Professional Counselor
- Medway, OH
National Provider Identifier
1154490936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C0500552
- Practice address
- 2675 Medway New Carlisle Rd
Medway, OH 45341-9744 - Phone
- (937) 849-1257
- Fax
- (937) 849-1336
- NPI assigned
- Nov 7, 2006
- Last updated
- Jan 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C0500552 | OH | Primary |
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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, OH
- NPI 1669283701
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Medway, OH
- NPI 1497822514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1154490936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 MEDWAY NEW CARLISLE RD",
"city": "MEDWAY",
"state": "OH",
"postal_code": "453419744",
"telephone_number": "937-849-1257",
"fax_number": "937-849-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 MEDWAY NEW CARLISLE RD",
"city": "MEDWAY",
"state": "OH",
"postal_code": "453419744",
"telephone_number": "937-849-1257",
"fax_number": "937-849-1336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUSSIA",
"first_name": "ANGELIA",
"middle_name": "K",
"credential": "MA, PCC, CDCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C0500552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medway, OH
- Angelia K Dussia Dba Aletheia Counseling Center, LLC
- Bethel Township Trustees (Bethel Township Fire Department)
- Maryka Anne Biermann, LPN
- Amber E Bolin
- Loretta Coffey
- Lynn Marie Farney, PSY.D.
- Barbara L Farrell I, MSW LISW
- Kent W Freeland, IMFT,PCC-S,LMFT,LCPC
- Penny Hines, OTR/L
- Garnet K.B. Holliday, RN, BSN, LCCE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.