Active NPI
Midwest Behavioral Care
- Mental Health Counselor
- Kettering, OH
National Provider Identifier
1245350552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MIDWEST BEHAVIORAL CARE
- Practice address
- 28 E Rahn Rd
Suite 105
Kettering, OH 45429-5461 - Phone
- (937) 434-6840
- Fax
- (937) 264-1101
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Pearce, PSY.D.
- Title
- Managing Partner
- Phone
- (937) 275-6510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
28 E Rahn Rd
Suite 105
Kettering, OH 45429-5461
Mailing address
3821 Little York Rd
Dayton, OH 45414-2409
Phone (937) 454-0092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041019000480 | OH | Part B Supplier - Clinic/Group Practice | 6305806886 |
Receives reassigned benefits from 5 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dayton, OH; Kettering, OH |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
28 E Rahn Rd
Ste 105
Kettering, OH 45429
Phone (937) 434-6840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245350552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3821 LITTLE YORK RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454142409",
"telephone_number": "937-454-0092",
"fax_number": "937-264-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 E RAHN RD",
"address_2": "SUITE 105",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295461",
"telephone_number": "937-434-6840",
"fax_number": "937-264-1101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST BEHAVIORAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PEARCE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "937-275-6510",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.