Individual provider Active NPI

Erica D Ogletree, LPCC

  • Mental Health Counselor
  • Blue Ash, OH
National Provider Identifier
1336428598
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1500290-SUPV Issued in OH
Practice address
11223 Cornell Park Dr Ste 102
Blue Ash, OH 45242-1835
Phone
(513) 866-4645
Fax
(513) 866-4600
NPI assigned
Aug 5, 2011
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.1500290-SUPV OH Primary

Addresses

Primary practice location

11223 Cornell Park Dr Ste 102
Blue Ash, OH 45242-1835

Mailing address

11223 Cornell Park Dr Ste 102
Blue Ash, OH 45242-1835
Phone (513) 866-4645

Other practice location 1

2621 Victory Pkwy
Cincinnati, OH 45206-1754
Phone (513) 684-7968

Other identifiers 1

IdentifierTypeStateIssuer
0213210MedicaidOH

Other names 1

  • Erica Sanford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.1500290-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Treemedous Care Therapeutic Services LLC Mental Health CurrentSince Mar 4, 2021 Accepting new patients

Locations

11223 Cornell Park Dr
Ste 102
Blue Ash, OH 45242
Phone (513) 866-4645

230 Northland Blvd
Ste 111A
Springdale, OH 45246

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1336428598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11223 CORNELL PARK DR STE 102",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421835",
            "telephone_number": "513-866-4645",
            "fax_number": "513-866-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11223 CORNELL PARK DR STE 102",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421835",
            "telephone_number": "513-866-4645",
            "fax_number": "513-866-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2621 Victory Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452061754",
            "country_code": "US",
            "telephone_number": "513-684-7968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGLETREE",
        "first_name": "ERICA",
        "middle_name": "D",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1500290-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0213210",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "SANFORD",
            "credential": "PC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.