Individual provider Active NPI

Darsey Stump, LPCC-S, LICDC

  • Mental Health Counselor
  • Loveland, OH
National Provider Identifier
1457982498
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2102642-SUPV Issued in OH
Practice address
422 W Loveland Ave
Loveland, OH 45140-2322
Phone
(513) 334-7272
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 39004729A IN
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LICDC.161919 OH
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X E.2102642-SUPV OH Primary

Addresses

Primary practice location

422 W Loveland Ave
Loveland, OH 45140-2322

Mailing address

5142 Providence Ridge Dr
Liberty TWP, OH 45011-9155
Phone (910) 650-8675

Other practice location 1

19904 Augusta Dr Ste 3
Lawrenceburg, IN 47025-7549
Phone (513) 334-7272

Other names 1

  • Darsey Raymond Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 29, 2024 through Mar 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39004729AINMDCounselor
LICDC.161919OHMDAddiction (Substance Use Disorder) Counselor
E.2102642-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Self Care Counseling Inc Addiction (Substance Use Disorder) CurrentSince Dec 10, 2023 Accepting new patients
Self Care Counseling Inc Mental Health CurrentSince Nov 17, 2024 Accepting new patients
Access Counseling Services, LLC Addiction (Substance Use Disorder) PastSince Nov 1, 2021 Accepting new patients
Access Counseling Services LLC Addiction (Substance Use Disorder) PastSince Nov 1, 2021 Accepting new patients

Locations

422 W Loveland Ave
Loveland, OH 45140
Phone (513) 334-7272

Organizations & group practices 4

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": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1457982498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 PROVIDENCE RIDGE DR",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450119155",
            "telephone_number": "910-650-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 W LOVELAND AVE",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451402322",
            "telephone_number": "513-334-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19904 Augusta Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "IN",
            "postal_code": "470257549",
            "country_code": "US",
            "telephone_number": "513-334-7272",
            "fax_number": "513-676-0051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUMP",
        "first_name": "DARSEY",
        "credential": "LPCC-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "39004729A",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161919",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2102642-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARSEY",
            "last_name": "RAYMOND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loveland, OH

Sources for this page

Verify at the official NPI Registry.