Active NPI
Darsey Stump, LPCC-S, LICDC
- Mental Health Counselor
- Loveland, OH
National Provider Identifier
1457982498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.2102642-SUPV
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 39004729A | IN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.161919 | OH | |
| Mental Health Counselor | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39004729A | IN | MD | Counselor |
| LICDC.161919 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.2102642-SUPV | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Care Counseling Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Self Care Counseling Inc | Mental Health | Current | Accepting new patients |
| Access Counseling Services, LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Access Counseling Services LLC | Addiction (Substance Use Disorder) | Past | 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.
-
- Mental Health Counselor
- Loveland, OH
- NPI 1578387809
-
- Mental Health Counselor
- Loveland, OH
- NPI 1942968011
Addiction (Substance Use Disorder)
-
- Community/Behavioral Health Agency
- Middletown, OH
- NPI 1073884524
Addiction (Substance Use Disorder)
-
- Community/Behavioral Health Agency
- Middletown, OH
- NPI 1245583673
Addiction (Substance Use Disorder)
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.