Active NPI
Richard Bernard Lonnemann, QMHS, CMS
- Case Manager/Care Coordinator
- Lebanon, OH
National Provider Identifier
1790711869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 759 Columbus Ave
Lebanon, OH 45036-1754 - Phone
- (513) 751-7747
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710101979 | VA | |
| Mental Health Counselor | 101YM0800X | 0701002138 | VA | |
| Marriage & Family Therapist | 106H00000X | 0717000900 | VA | |
| Case Manager/Care Coordinator | 171M00000X | OH | Primary |
Addresses
Primary practice location
759 Columbus Ave
Lebanon, OH 45036-1754
Mailing address
1651 Tollgate CT
Lebanon, OH 45036-8688
Phone (804) 731-2030
Other practice location 1
20 W Bank St
Petersburg, VA 23803-3279
Phone (804) 862-8002
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258512 SY | Other | VA | HEALTHKEEPER COMMERCIAL |
| 004945280 | Medicaid | VA | |
| 147272 P | Medicaid | VA | |
| 258512 SY | Medicaid | VA | |
| 182407 | Medicaid | VA | |
| 466955 D | Medicaid | VA | |
| 083618 | Other | VA | SENTARA - COMMERCIAL |
| 083618 | Medicaid | VA | |
| 466955 SX | Other | VA | HEALTHKEEPER COMMERCIAL |
| 466955 SX | Medicaid | VA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0710101979 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0701002138 | VA | MD | Mental Health Counselor |
| 0717000900 | VA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1790711869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1651 TOLLGATE CT",
"city": "LEBANON",
"state": "OH",
"postal_code": "450368688",
"telephone_number": "804-731-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 COLUMBUS AVE",
"city": "LEBANON",
"state": "OH",
"postal_code": "450361754",
"telephone_number": "513-751-7747"
}
],
"practiceLocations": [
{
"address_1": "20 W Bank St",
"address_purpose": "LOCATION",
"city": "Petersburg",
"state": "VA",
"postal_code": "238033279",
"country_code": "US",
"telephone_number": "804-862-8002",
"fax_number": "804-863-1665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONNEMANN",
"first_name": "RICHARD",
"middle_name": "BERNARD",
"name_prefix": "Mr.",
"credential": "QMHS, CMS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710101979",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701002138",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717000900",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHKEEPER COMMERCIAL",
"identifier": "258512 SY",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945280",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147272 P",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258512 SY",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182407",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "466955 D",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA - COMMERCIAL",
"identifier": "083618",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083618",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHKEEPER COMMERCIAL",
"identifier": "466955 SX",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "466955 SX",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.