Active NPI
Stephanie I Hittle, LPCC
- Professional Counselor
- Centerville, OH
National Provider Identifier
1417903238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0002521
- Practice address
- 180 E Spring Valley Rd
Ste B
Centerville, OH 45458-3803 - Phone
- (937) 291-1351
- Fax
- (937) 291-1719
- NPI assigned
- May 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0002521 | OH | Primary |
Addresses
Primary practice location
180 E Spring Valley Rd
Ste B
Centerville, OH 45458-3803
Mailing address
180 E Spring Valley Rd
Ste B
Centerville, OH 45458-3803
Phone (937) 291-1351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 28, 2024 through Oct 28, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0002521 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Suburban Mental Health Group | Professional | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Centerville, OH
- NPI 1013963065
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417903238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 E SPRING VALLEY RD",
"address_2": "STE B",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454583803",
"telephone_number": "937-291-1351",
"fax_number": "937-291-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 E SPRING VALLEY RD",
"address_2": "STE B",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454583803",
"telephone_number": "937-291-1351",
"fax_number": "937-291-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITTLE",
"first_name": "STEPHANIE",
"middle_name": "I",
"name_prefix": "Mrs.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0002521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.