Individual provider Active NPI

Nzingha Dalila, ED.D,PCC-S,LCOC-III

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1437182755
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0500349-SUPV Issued in OH
Practice address
2751 O'Varsity Way
Cincinnati, OH 45221-0001
Phone
(513) 558-7700
Fax
(513) 558-5055
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 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 LCDC.091004-3 OH
Clinical Psychologist 103TC0700X E0500349 OH
Counseling Psychologist 103TC1900X LCDCIII091004 OH
Professional Counselor 101YP2500X E.0500349-SUPV OH Primary

Addresses

Primary practice location

2751 O'Varsity Way
Cincinnati, OH 45221-0001

Mailing address

PO Box 636256
Cincinnati, OH 45263-6256
Phone (513) 585-6200

Other identifiers 2

IdentifierTypeStateIssuer
000000356242OtherOHANTHEM PIN
174842311985OtherOHHUMANA ID

Other names 1

  • Nzingha Dalila Vick 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCDC.091004-3OHMDAddiction (Substance Use Disorder) Counselor
E.0500349-SUPVOHMDProfessional Counselor
E0500349OHMDClinical Psychologist
LCDCIII091004OHMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Counseling & Psychological Services Counseling Past Accepting new patients
University of Cincinnati Physicians Company, LLC Professional PastSince May 14, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ndalila524693@direct.uchealth.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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1437182755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-6200",
            "fax_number": "513-245-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 O'VARSITY WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452210001",
            "telephone_number": "513-558-7700",
            "fax_number": "513-558-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALILA",
        "first_name": "NZINGHA",
        "name_prefix": "Ms.",
        "credential": "ED.D,PCC-S,LCOC-III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDC.091004-3",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "E0500349",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "LCDCIII091004",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0500349-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000356242",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA ID",
            "identifier": "174842311985",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NZINGHA",
            "last_name": "VICK",
            "middle_name": "DALILA",
            "credential": "PC",
            "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 Jun 12, 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.