Individual provider Active NPI

Dawn April Anderson, LPCC-S

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1770904039
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1100612-SUPV Issued in OH
Practice address
3333 Burnet Avenue
MLC 3014
Cincinnati, OH 45229
Phone
(513) 636-4788
Fax
(513) 636-4283
NPI assigned
Jan 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E1100612 OH
Professional Counselor 101YP2500X E.1100612-SUPV OH Primary

Addresses

Primary practice location

3333 Burnet Avenue
MLC 3014
Cincinnati, OH 45229

Mailing address

3333 Burnet Avenue
MLC 3014
Cincinnati, OH 45229-3026
Phone (513) 636-4788

Other practice location 1

1239 Central Avenue
Middletown, OH 45044
Phone (513) 737-1247

Other practice location 2

1239 Central Avenue
Middletown, OH 45044
Phone (513) 737-1247

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
I20240110005065 OH Practitioner - Mental Health Counselor 6406207752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lindner Center of Hope Professional AssociatesGroup PAC ID 7012236409, 72 clinicians

Practice addresses (Care Compare)

4075 Old Western Row Rd
Mason, OH 45040-3104
Phone (513) 536-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1100612OHMDMental Health Counselor
E.1100612-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lindner Center of Hope Professional Associates Mental Health CurrentSince Jan 1, 2024 Accepting new patients
The Craig and Frances Lindner Center of Hope CurrentSince Jan 1, 2024 Accepting new patients
Central Clinic Outpatient Services Mental Health Past Accepting new patients
Central Clinic Inc Past Accepting new patients

Locations

9435 Waterstone Blvd
Ste 120
Cincinnati, OH 45249
Phone (513) 536-0639

4075 Old Western Row Rd
Mason, OH 45040
Phone (513) 536-0232

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/centralclinic/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1770904039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVENUE",
            "address_2": "MLC 3014",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4788",
            "fax_number": "513-636-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVENUE",
            "address_2": "MLC 3014",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45229",
            "telephone_number": "513-636-4788",
            "fax_number": "513-636-4283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1239 Central Avenue",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "45044",
            "country_code": "US",
            "telephone_number": "513-737-1247",
            "fax_number": "513-737-3639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1239 Central Avenue",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "45044",
            "country_code": "US",
            "telephone_number": "513-737-1247",
            "fax_number": "513-737-3639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DAWN",
        "middle_name": "APRIL",
        "name_prefix": "Mrs.",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1100612",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1100612-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.