Alicia Anderson
Individual provider Active NPI Peer Specialist · Hamilton, OH
NPI 1225876006 · NPPES record last updated Jul 30, 2024
Key facts
- NPI
- 1225876006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- APS.005248 (OH)
- Practice address
- 3103 Dixie Hwy
Hamilton, OH 45015-1653 - Phone
- (513) 892-4673
- NPI assigned
- Jul 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APS.005248 | OH | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decoach Team LLC | Current |
Accepting new patients | |
| Decoach Team LLC | Multi-Specialty | Current |
Accepting new patients |
| Kyros Recovery, LLC | Peer Specialist | Past | Accepting new patients |
Locations
3103 Dixie Hwy
Hamilton, OH 45015
Phone (513) 892-4673
100 Crowne Point Pl
Sharonville, OH 45241
Phone (513) 743-7628
Interoperability endpoints
- alicia.anderson.1@15558.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist |
175T00000X | APS.005248 | OH | Yes |
Addresses
Primary practice location
3103 Dixie Hwy
Hamilton, OH 45015-1653
Mailing address
100 Crowne Point PL
Cincinnati, OH 45241-5427
Phone (513) 743-7628
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.