Individual provider Active NPI

Vivian Dawn Minto, LPC

  • Mental Health Counselor
  • Steubenville, OH
National Provider Identifier
1528512886
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C1100102 Issued in OH
Practice address
3200 Johnson Rd
Steubenville, OH 43952
Phone
(740) 996-7110
Fax
(740) 346-0236
NPI assigned
Aug 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C1100102 OH Primary

Addresses

Primary practice location

3200 Johnson Rd
Steubenville, OH 43952

Mailing address

380 Summit Ave
Steubenville, OH 43952-2667
Phone (740) 283-7863

Other practice location 1

380 Summit Ave
Steubenville, OH 43952-2667
Phone (740) 283-7863

Other identifiers 1

IdentifierTypeStateIssuer
C1100102OtherOHSTATE OF OHIO COUNSELOR, SOCIAL WORKER, AND MARRIAGE AND THERAPIST BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240202002020 WV Practitioner - Mental Health Counselor 2961855259 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C1100102OHMDMental Health Counselor
2800WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain State Counseling and Behavioral Health Services CurrentSince Jan 1, 2024 Accepting new patients

Locations

243 Three Springs Dr
Ste 5B
Weirton, WV 26062
Phone (304) 224-5410

Organizations & group practices 1

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1528512886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SUMMIT AVE",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522667",
            "telephone_number": "740-283-7863",
            "fax_number": "740-346-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 JOHNSON RD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "43952",
            "telephone_number": "740-996-7110",
            "fax_number": "740-346-0236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439522667",
            "country_code": "US",
            "telephone_number": "740-283-7863",
            "fax_number": "740-346-0236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINTO",
        "first_name": "VIVIAN",
        "middle_name": "DAWN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1100102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO COUNSELOR, SOCIAL WORKER, AND MARRIAGE AND THERAPIST BOARD",
            "identifier": "C1100102",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.