Individual provider Active NPI

Patricia Ann Dittmeier, LPCC

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1508269895
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0800386 Issued in OH
Practice address
2347 Vine St
Cincinnati, OH 45219-1745
Phone
(513) 621-1117
Fax
(513) 621-2350
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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 0800386 OH
Mental Health Counselor 101YM0800X 0800386 OH
Pastoral Counselor 101YP1600X 0800386 OH
Professional Counselor 101YP2500X 0800386 OH Primary

Addresses

Primary practice location

2347 Vine St
Cincinnati, OH 45219-1745

Mailing address

2347 Vine St
Cincinnati, OH 45219-1745
Phone (513) 621-1117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123001890 OH Practitioner - Mental Health Counselor 5294187589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ikron Corporation.Group PAC ID 4880854736, 7 clinicians

Practice addresses (Care Compare)

2347 Vine St
Cincinnati, OH 45219-1745
Phone (513) 621-1117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0800386OHMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Resource Center of Cincinnati, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Health Resource Center of Cincinnati, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Ikron Corporation CurrentSince Jan 1, 2024 Accepting new patients

Locations

2347 Vine St
Fl 2
Cincinnati, OH 45219
Phone (513) 357-4602

2347 Vine St
Cincinnati, OH 45219
Phone (513) 357-4602

Organizations & group practices 3

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1508269895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191745",
            "telephone_number": "513-621-1117",
            "fax_number": "513-621-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191745",
            "telephone_number": "513-621-1117",
            "fax_number": "513-621-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTMEIER",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "0800386",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "0800386",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "OH",
            "license": "0800386",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "0800386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.