Individual provider Active NPI

Paul William Rich Owen, LPCC

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1194477166
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2404283 Issued in OH
Practice address
4790 Red Bank Rd Ste 128
Cincinnati, OH 45227-1509
Phone
(513) 731-3346
NPI assigned
Jan 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2103835 OH
Mental Health Counselor 101YM0800X E.2404283 OH Primary

Addresses

Primary practice location

4790 Red Bank Rd Ste 128
Cincinnati, OH 45227-1509

Mailing address

4790 Red Bank Rd Ste 128
Cincinnati, OH 45227-1509
Phone (513) 731-3346

Other practice location 1

430 Franklin St SE
Warren, OH 44483-5715
Phone (330) 372-2200

Other names 1

  • Paul William Rich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20240517001801 OH Practitioner - Mental Health Counselor 9830530138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4790 Red Bank Rd
Suite 128
Cincinnati, OH 45227-1509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2103835OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Family Care, Inc. CurrentSince Apr 26, 2024 Accepting new patients
Greentree Counseling Center Inc Mental Health PastSince Jan 1, 2022 Accepting new patients
Greentree Counseling Center PastSince Jan 1, 2022 Accepting new patients

Locations

4790 Red Bank Rd
Ste 128
Cincinnati, OH 45227
Phone (513) 252-0533

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1194477166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 RED BANK RD STE 128",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271509",
            "telephone_number": "513-731-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 RED BANK RD STE 128",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271509",
            "telephone_number": "513-731-3346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Franklin St SE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444835715",
            "country_code": "US",
            "telephone_number": "330-372-2200",
            "fax_number": "330-372-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "PAUL",
        "middle_name": "WILLIAM RICH",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-21",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2103835",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2404283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "RICH",
            "middle_name": "WILLIAM",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.