Active NPI
Michael Andrew Little
- Mental Health Counselor
- Cincinnati, OH
National Provider Identifier
1154819431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S1100316
- Practice address
- 1525 Elm St
Cincinnati, OH 45202-6957 - Phone
- (513) 352-2930
- NPI assigned
- Apr 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 081160 | OH | |
| Mental Health Counselor | 101YM0800X | 257165 | KY | |
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | OH | ||
| Pastoral Counselor | 101YP1600X | 000000 | OH | |
| Pastoral Counselor | 101YP1600X | OH | ||
| Social Worker | 104100000X | S1100316 | OH | |
| Mental Health Counselor | 101YM0800X | S1100316 | OH | Primary |
Addresses
Primary practice location
1525 Elm St
Cincinnati, OH 45202-6957
Mailing address
5658 Indian Hill CT
Fairfield Township, OH 45011-7895
Phone (937) 674-7787
Other practice location 1
1 Elizabeth Pl
Dayton, OH 45417-3445
Phone (937) 461-5223 ext. 3021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081160 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 257165 | KY | MD | Mental Health Counselor |
| S1100316 | OH | MD | Social Worker |
| 000000 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1154819431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5658 INDIAN HILL CT",
"city": "FAIRFIELD TOWNSHIP",
"state": "OH",
"postal_code": "450117895",
"telephone_number": "937-674-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 ELM ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452026957",
"telephone_number": "513-352-2930"
}
],
"practiceLocations": [
{
"address_1": "1 Elizabeth Pl",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454173445",
"country_code": "US",
"telephone_number": "937-461-5223 x3021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LITTLE",
"first_name": "MICHAEL",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-23",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "081160",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "257165",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "OH",
"license": "000000",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S1100316",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "S1100316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.