Individual provider Active NPI

Alicia Cormier

  • Counselor
  • Xenia, OH
National Provider Identifier
1760619704
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.0700900-SUPV Issued in OH
Practice address
2960 W Enon Rd
Xenia, OH 45385-8548
Phone
(937) 272-4925
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.0700900-SUPV OH Primary

Addresses

Primary practice location

2960 W Enon Rd
Xenia, OH 45385-8548

Mailing address

2960 W Enon Rd
Xenia, OH 45385-8548
Phone (937) 272-4925

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

LicenseStateTypeSpecialty
E.0700900-SUPVOHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emerge Recovery and Trades Initiative CurrentSince Jul 2, 2023 Accepting new patients
Emerge Recovery and Trades Initiative CurrentSince Sep 8, 2025 Accepting new patients
TCN Behavioral Health Services, Inc. Past Accepting new patients

Locations

2960 W Enon Rd
Xenia, OH 45385
Phone (937) 272-4925

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.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1760619704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 W ENON RD",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453858548",
            "telephone_number": "937-272-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 W ENON RD",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453858548",
            "telephone_number": "937-272-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMIER",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0700900-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.