NPIMap

Organization Active NPI

Protea Behavioral Health Counseling, PLLC

  • Mental Health Counselor
  • Dayton, OH
National Provider Identifier
1659136570
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PROTEA BEHAVIORAL HEALTH COUNSELING, PLLC
Practice address
8963 Kingsridge Dr Ste a
Dayton, OH 45458-1623
Phone
(513) 393-0969
NPI assigned
Feb 20, 2024
Last updated
Feb 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PROTEA BEHAVIORAL HEALTH COUNSELING PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Kristen Fields
Title
Owner
Phone
(513) 393-0969

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

8963 Kingsridge Dr Ste a
Dayton, OH 45458-1623

Mailing address

80 Highway 2227
Somerset, KY 42503-1562
Phone (513) 393-0969

Other identifiers 1

IdentifierTypeStateIssuer
0490416MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Protea Behavioral Health Counseling PLLC3 organizations share this tax ID, including this one
Part of
Protea Behavioral Health Counseling PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8963 Kingsridge Dr
Ste A
Dayton, OH 45458
Phone (513) 260-9693

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1659136570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HIGHWAY 2227",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031562",
            "telephone_number": "513-393-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8963 KINGSRIDGE DR STE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581623",
            "telephone_number": "513-393-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTEA BEHAVIORAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROTEA BEHAVIORAL HEALTH COUNSELING PLLC",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-393-0969"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490416",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.