Active NPI
Gentry W Stevens, A.S., B.A.
- Case Manager/Care Coordinator
- Hamilton, OH
National Provider Identifier
1710234968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 515 Dayton St
Hamilton, OH 45011-3455 - Phone
- (513) 868-7654
- Fax
- (513) 737-0026
- NPI assigned
- Aug 7, 2012
- Last updated
- Nov 4, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
515 Dayton St
Hamilton, OH 45011-3455
Mailing address
1020 Symmes Rd
Fairfield, OH 45014-1844
Phone (513) 645-4578
Other practice location 1
9127 Oxford Pike
Brookville, IN 47012-7874
Phone (765) 647-4173 ext. 3615
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
- Credentials
- Associate of Science, Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mental Health Center Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba INcompass Healthcare
- Psychiatric Hospital
- Lawrenceburg, IN
- NPI 1588732747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1710234968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 SYMMES RD",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450141844",
"telephone_number": "513-645-4578",
"fax_number": "513-883-1546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 DAYTON ST",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450113455",
"telephone_number": "513-868-7654",
"fax_number": "513-737-0026"
}
],
"practiceLocations": [
{
"address_1": "9127 Oxford Pike",
"address_purpose": "LOCATION",
"city": "Brookville",
"state": "IN",
"postal_code": "470127874",
"country_code": "US",
"telephone_number": "765-647-4173 x3615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "GENTRY",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "A.S., B.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-07",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.