Individual provider Active NPI

Cassondra Hiles

  • Addiction (Substance Use Disorder) Counselor
  • Portsmouth, OH
National Provider Identifier
1265061337
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCDCIII.162341 Issued in OH
Practice address
1907 11TH St
Portsmouth, OH 45662-4531
Phone
(513) 941-4999
Fax
(513) 694-0168
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.171920 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.175447 OH
Mental Health Counselor 101YM0800X QMHS-MASTERS OH
Addiction (Substance Use Disorder) Counselor 101YA0400X LCDCIII.162341 OH Primary

Addresses

Primary practice location

1907 11TH St
Portsmouth, OH 45662-4531

Mailing address

6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7958
Phone (513) 941-4999

Other identifiers 1

IdentifierTypeStateIssuer
0397277MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240917001231 OH Practitioner - Mental Health Counselor 4385183029 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CDCA.171920OHMDAddiction (Substance Use Disorder) Counselor
CDCA.175447OHMDAddiction (Substance Use Disorder) Counselor
LCDCIII.162341OHMDAddiction (Substance Use Disorder) Counselor
QMHS-MASTERSOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Counseling Center LLC CurrentSince Jul 25, 2024 Accepting new patients
Shawnee Counseling Center LLC CurrentSince Jul 25, 2024 Accepting new patients

Locations

2828 Gallia St
Portsmouth, OH 45662
Phone (740) 876-4370

1646 Highland Ave
Portsmouth, OH 45662

1514 6th St
Portsmouth, OH 45662
Phone (740) 876-4109

Interoperability endpoints

  • Direct secure messaging: cassondra.hiles.p1@direct.thecounselingcenter.nextgenshare.com

Organizations & group practices 2

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1265061337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 HARRISON AVE STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477958",
            "telephone_number": "513-941-4999",
            "fax_number": "513-694-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 11TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624531",
            "telephone_number": "513-941-4999",
            "fax_number": "513-694-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILES",
        "first_name": "CASSONDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.171920",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.175447",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "QMHS-MASTERS",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.162341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0397277",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.