Alicia Ciccone

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3632 Issued in CA

Practice address

5975 Kentshire Dr Ste a
Dayton, OH 45440-4254

Phone

(530) 305-9182

NPI assigned

Mar 12, 2013

Last updated

Mar 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Resiliency Center Inc

  • Mental Health Counselor
  • Dayton, OH
  • NPI 1356158943
  Medicare reassignment NPD Authorized official
• Granite Wellness Centers

  dba Grass Valley Campus

  • Community/Behavioral Health Agency
  • Grass Valley, CA
  • NPI 1750500237
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1154662492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 KENTSHIRE DR STE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454404254",
            "telephone_number": "530-305-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 KENTSHIRE DR STE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454404254",
            "telephone_number": "530-305-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCONE",
        "first_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "3632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brannon Russell Churchwell, D.O.
• Juliana Cialdella, DO
• Victor Louis Ciaramitaro, RPH
• Rose Ciccariello Fagan, CNP
• Angela Cicchinelli, CDCA
• Joseph L Cimoch, LPCC-S
• Courtney Marie Cinko, M.D.
• Circle of Care HHC LLC
• Circle of Peace, LLC
• Julia Kathleen Circle, PA-C

• Mental Health Counselor in Dayton, OH
• Providers in Dayton, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.