Individual provider Active NPI

Marie P Doerger, LICDC-CS, LPCC-S

  • Professional Counselor
  • West Chester, OH
National Provider Identifier
1760620645
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1100124-SUPV Issued in OH
Practice address
9117 Cincinnati Columbus Rd
West Chester, OH 45069-3701
Phone
(513) 229-7585
NPI assigned
Jan 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.081134 OH
Professional Counselor 101YP2500X E.1100124-SUPV OH Primary

Addresses

Primary practice location

9117 Cincinnati Columbus Rd
West Chester, OH 45069-3701

Mailing address

615 Elsinore PL Ste 200
Cincinnati, OH 45202-1459
Phone (513) 834-7063

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
I20250331001857 OH Practitioner - Mental Health Counselor 2567985526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Professional Psychiatric Services, LLCGroup PAC ID 3870512262, 5 clinicians

Practice addresses (Care Compare)

9117 Cincinnati Columbus Rd
West Chester, OH 45069-3701
Phone (513) 229-7585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.081134OHMDAddiction (Substance Use Disorder) Counselor
E.1100124-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Psychiatric Services, LLC CurrentSince Mar 19, 2025 Accepting new patients
Professional Psychiatric Services, LLC Past Accepting new patients

Locations

9117 Cincinnati Columbus Rd
#R
West Chester, OH 45069
Phone (513) 229-7585

9117 Columbus Cincinnati Rd
West Chester, OH 45069
Phone (513) 229-7585

Organizations & group practices 2

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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1760620645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021459",
            "telephone_number": "513-834-7063",
            "fax_number": "513-873-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9117 CINCINNATI COLUMBUS RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693701",
            "telephone_number": "513-229-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERGER",
        "first_name": "MARIE",
        "middle_name": "P",
        "credential": "LICDC-CS, LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.081134",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1100124-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.