Individual provider Active NPI

Derek Todd Stegner, LPC

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1730692104
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C1500433 Issued in OH
Practice address
1994 Madison Rd
Cincinnati, OH 45208-3217
Phone
(513) 641-5530
NPI assigned
Nov 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C1500433 OH Primary

Addresses

Primary practice location

1994 Madison Rd
Cincinnati, OH 45208-3217

Mailing address

1994 Madison Rd
Cincinnati, OH 45208-3217
Phone (513) 641-5530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219002201 OH Practitioner - Mental Health Counselor 7214371160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cognitive Organics LLCGroup PAC ID 8325498868, 4 clinicians

Practice addresses (Care Compare)

256 Poplar St NW
Bolivar, OH 44612-9209
Phone (614) 610-1396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C1500433OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Organics LLC Mental Health CurrentSince Feb 5, 2024 Accepting new patients
Cognitive Organics LLC CurrentSince Feb 5, 2024 Accepting new patients
Hearing Speech and Deaf Center of Greater Cincinnati Past Accepting new patients
G.L.a.D. House, Inc. Past Accepting new patients

Locations

2637 Tusky Valley Rd NE
Zoarville, OH 44656
Phone (330) 859-2213

263 Rainbow Dr
#16343
Livingston, TX 77399

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1730692104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1994 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452083217",
            "telephone_number": "513-641-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1994 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452083217",
            "telephone_number": "513-641-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGNER",
        "first_name": "DEREK",
        "middle_name": "TODD",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1500433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.