Scott Edmond Culver, LICDC, LPC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Piqua, OH

NPI 1548830680 · NPPES record last updated Mar 13, 2025

Key facts

NPI
1548830680
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
LICDC.162311 (OH)
Practice address
1830 W High St
Piqua, OH 45356-9399
Phone
(833) 510-4357
NPI assigned
Jun 30, 2021
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240514002637 OH Practitioner - Mental Health Counselor 5294184669 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
C.2204618OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Decoach Team LLC Current
since Mar 27, 2022
Accepting new patients
Decoach Team LLC Current
since Feb 21, 2024
Accepting new patients
Brightview, LLC Past Accepting new patients

Locations

6570 Sosna Dr
Fairfield, OH 45014
Phone (513) 942-4673

3103 Dixie Hwy
Hamilton, OH 45015
Phone (513) 892-4673

100 Crowne Point Pl
Sharonville, OH 45241
Phone (513) 743-7628

36 N Detroit St
Ste 105
Xenia, OH 45385
Phone (513) 942-4673

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.2204618 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162311 OH Yes

Addresses

Primary practice location

1830 W High St
Piqua, OH 45356-9399

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other practice location 1

302 W Main St
Fairborn, OH 45324-5037
Phone (937) 281-4673

Other identifiers

IdentifierTypeStateIssuer
0453270MedicaidOH

Other providers in Piqua, OH

All providers in Piqua, OH · Addiction (Substance Use Disorder) Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.