Active NPI
Matthew Ogletree, COUNSELOR
- Addiction (Substance Use Disorder) Counselor
- Cincinnati, OH
National Provider Identifier
1659966737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 181032
- Practice address
- 155 Tri County Pkwy Ste 237
Cincinnati, OH 45246-3238 - Phone
- (513) 345-0195
- NPI assigned
- Mar 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 181032 | OH | Primary |
Addresses
Primary practice location
155 Tri County Pkwy Ste 237
Cincinnati, OH 45246-3238
Mailing address
4424 Glendale Dr Apt 5
Batavia, OH 45103-1535
Phone (513) 345-0195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0498289 | Medicaid | OH |
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 |
|---|---|---|---|
| 181032 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MKS Recovery Inc | Current | Accepting new patients | |
| MKS Solutions LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Ogletree Supportive Services LLC | Past | Accepting new patients |
Locations
155 Tri County Pkwy
Ste 237
Cincinnati, OH 45246
Phone (513) 345-0195
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.
-
- Community/Behavioral Health Agency
- Cincinnati, OH
- NPI 1912595679
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1306648688
Addiction (Substance Use Disorder)
-
- Clinical Social Worker
- Cincinnati, OH
- NPI 1679338404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1659966737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4424 GLENDALE DR APT 5",
"city": "BATAVIA",
"state": "OH",
"postal_code": "451031535",
"telephone_number": "513-345-0195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 TRI COUNTY PKWY STE 237",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452463238",
"telephone_number": "513-345-0195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGLETREE",
"first_name": "MATTHEW",
"credential": "COUNSELOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-01",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "181032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0498289",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.