Active NPI
Jamye Stuckey, CDCA.167990
- Counselor
- Blue Ash, OH
National Provider Identifier
1629537162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CDCA.167990
- Practice address
- 11134 Luschek Dr
Blue Ash, OH 45241-2434 - Phone
- (513) 827-9273
- Fax
- (513) 818-9960
- NPI assigned
- Mar 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CDCA.167990 | OH | Primary |
Addresses
Primary practice location
11134 Luschek Dr
Blue Ash, OH 45241-2434
Mailing address
11134 Luschek Dr
Blue Ash, OH 45241-2434
Phone (513) 827-9273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.167990 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1629537162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11134 LUSCHEK DR",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452412434",
"telephone_number": "513-827-9273",
"fax_number": "513-818-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11134 LUSCHEK DR",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452412434",
"telephone_number": "513-827-9273",
"fax_number": "513-818-9960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKEY",
"first_name": "JAMYE",
"credential": "CDCA.167990",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "CDCA.167990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.