Individual provider Active NPI

Bonnie E Ihle-Morse, LPCC-S

  • Professional Counselor
  • Sidney, OH
National Provider Identifier
1780182212
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2102270 Issued in OH
Practice address
100 S Main Ave Ste 101
Sidney, OH 45365-2771
Phone
(937) 575-7109
Fax
(937) 658-6089
NPI assigned
Jan 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1800918 OH
Professional Counselor 101YP2500X C.1800918 OH
Professional Counselor 101YP2500X E.2102270 OH Primary

Addresses

Primary practice location

100 S Main Ave Ste 101
Sidney, OH 45365-2771

Mailing address

100 S Main Ave Ste 101
Sidney, OH 45365-2771
Phone (833) 289-0227

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
I20240509003152 OH Practitioner - Clinical Social Worker 6507207453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Social Services of the Miami ValleyGroup PAC ID 1355374885, 2 clinicians

Practice addresses (Care Compare)

100 S Main Ave
Suite 101
Sidney, OH 45365-2771
Phone (937) 575-7074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1800918OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Social Services of the Miami Valley Mental Health CurrentSince May 1, 2024 Accepting new patients

Locations

100 S Main Ave
Ste 101
Sidney, OH 45365
Phone (833) 289-0227

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1780182212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MAIN AVE STE 101",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652771",
            "telephone_number": "833-289-0227",
            "fax_number": "937-658-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN AVE STE 101",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652771",
            "telephone_number": "937-575-7109",
            "fax_number": "937-658-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHLE-MORSE",
        "first_name": "BONNIE",
        "middle_name": "E",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1800918",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1800918",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2102270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

Verify at the official NPI Registry.