Individual provider Active NPI

Stephen Haefling

  • Counselor
  • Cincinnati, OH
National Provider Identifier
1790164275
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.1700193 Issued in OH
Practice address
3030 Erie Ave
Cincinnati, OH 45208-2406
Phone
(513) 363-7100
Fax
(513) 363-7120
NPI assigned
May 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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.1700193 OH Primary

Addresses

Primary practice location

3030 Erie Ave
Cincinnati, OH 45208-2406

Mailing address

3030 Erie Ave
Cincinnati, OH 45208-2406
Phone (513) 363-7100

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
I20240215003823 OH Practitioner - Mental Health Counselor 2062856214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talbert HouseGroup PAC ID 1951314319, 37 clinicians

Practice addresses (Care Compare)

709 N High St
Mount Orab, OH 45154-6501
Phone (513) 751-7747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1300727OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Talbert House CurrentSince Jan 1, 2024 Accepting new patients
Talbert House Primary Care Past Accepting new patients
Children'S Hospital Medical Center Counselor Past Accepting new patients

Locations

1515 Carll St
Cincinnati, OH 45225
Phone (513) 244-3985

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

116 N High St
Mount Orab, OH 45154
Phone (937) 444-6127

709 N High St
Mount Orab, OH 45154
Phone (513) 242-7164

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": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1790164275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 ERIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082406",
            "telephone_number": "513-363-7100",
            "fax_number": "513-363-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 ERIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082406",
            "telephone_number": "513-363-7100",
            "fax_number": "513-363-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEFLING",
        "first_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.1700193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.