Audrey Marie Stiltner

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

4502 Gallia St
New Boston, OH 45662-5541

Phone

(740) 529-7020

Fax

(740) 529-7085

NPI assigned

Jul 27, 2022

Last updated

Jul 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Scioto Family and Behavioral Medicine

  • Addiction (Substance Use Disorder) Counselor
  • Portsmouth, OH
  • NPI 1063074771
  NPD

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1295461887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 JUNE AVE",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456628861",
            "telephone_number": "740-981-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 GALLIA ST",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456625541",
            "telephone_number": "740-529-7020",
            "fax_number": "740-529-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILTNER",
        "first_name": "AUDREY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Smith, M.S.
• Southern Ohio Family Vision Center, LLC
• Sarah Beth Sprague
• Tammy Sprinkle
• Rebecca Louise Stewart, LPC
• Amber Stone, CDCA
• Kathryn Toops
• Cindy Lea Turner, O.D.
• Village of New Boston
• Amber Dawn Wagel, LPN

• Addiction (Substance Use Disorder) Counselor in New Boston, OH
• Providers in New Boston, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.