Individual provider Active NPI

Angelia K Dussia, MA, PCC, CDCA

  • Professional Counselor
  • Medway, OH
National Provider Identifier
1154490936
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C0500552 Issued in 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
Last updated
Jan 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260106003401 OH Practitioner - Mental Health Counselor 5597251819 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
C0500552OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Citilookout CurrentSince Dec 1, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.