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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240514002637 | OH | Practitioner - Mental Health Counselor | 5294184669 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2204618 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decoach Team LLC | Current |
Accepting new patients | |
| Decoach Team LLC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0453270 | Medicaid | OH |
Other providers in Piqua, OH
- Meghan Cotterman
- Christopher A. Coughlin
- Ricquael Renee Craft
- Jazmyn Renee Crusoe-Price
- Dorothy M Crusoe
- Jessica Nicole Current
- Kristi S. Curtis
- D.a. Construction
- Jennifer H Dailing
- David K Andrews DDS Inc
All providers in Piqua, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.