Individual provider Active NPI

Christi Pridemore, MS-LPCC-S

  • Professional Counselor
  • Ironton, OH
National Provider Identifier
1508376344
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1700387 Issued in OH
Practice address
120 N 3Rd St
Ironton, OH 45638-1574
Phone
(740) 532-7855
NPI assigned
Oct 6, 2017
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.1700387 OH Primary

Addresses

Primary practice location

120 N 3Rd St
Ironton, OH 45638-1574

Mailing address

305 N 5TH St
Ironton, OH 45638-1578
Phone (740) 532-4858

Other identifiers 1

IdentifierTypeStateIssuer
0245851MedicaidOH

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
I20240210000568 OH Practitioner - Mental Health Counselor 8921441593 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10777 County Rd
Suite 107
Proctorville, OH 45669-8130
Phone (740) 302-0541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1700387OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Jan 16, 2025 Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Jan 16, 2025 Accepting new patients
Mended Reeds Services, Inc. Professional CurrentSince Jan 1, 2024 Accepting new patients
Ironton & Lawrence County Area Community Action Organization Current Accepting new patients

Locations

717 3rd Ave
Chesapeake, OH 45619
Phone (740) 867-6687

115 N 3rd St
Ironton, OH 45638
Phone (740) 302-1777

120 N 3rd St
Ironton, OH 45638
Phone (740) 532-7855

305 N 5th St
Ironton, OH 45638

700 Park Ave
Ironton, OH 45638
Phone (740) 532-1613

13804 State Route 141
Kitts Hill, OH 45645
Phone (740) 643-0234

10777 County Road 107
Proctorville, OH 45669
Phone (740) 302-0541

55 Township Road 508 E
South Point, OH 45680
Phone (740) 377-2712

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1508376344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 5TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381578",
            "telephone_number": "740-532-4858",
            "fax_number": "740-532-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381574",
            "telephone_number": "740-532-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDEMORE",
        "first_name": "CHRISTI",
        "credential": "MS-LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1700387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245851",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

Verify at the official NPI Registry.