Active NPI
Julie Anne Mittermeier, LPCC
- Counselor
- Cincinnati, OH
National Provider Identifier
1407103765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E.1100273
- Practice address
- 3333 Burnet Ave
ML 3014
Cincinnati, OH 45229-3026 - Phone
- (513) 636-4788
- Fax
- (513) 636-4283
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.1100273 | OH | |
| Counselor | 101Y00000X | E.1100273 | OH | Primary |
Addresses
Primary practice location
3333 Burnet Ave
ML 3014
Cincinnati, OH 45229-3026
Mailing address
3333 Burnet Ave, ML 5021
#206
Cincinnati, OH 45229-3255
Other names 1
- Julie Anne Wagner
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
| License | State | Type | Specialty |
|---|---|---|---|
| E.1100273 | OH | MD | Counselor |
| C.1100273 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1407103765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE, ML 5021",
"address_2": "#206",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML 3014",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4788",
"fax_number": "513-636-4283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTERMEIER",
"first_name": "JULIE",
"middle_name": "ANNE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1100273",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E.1100273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "WAGNER",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.