Individual provider Active NPI

Richard Bernard Lonnemann, QMHS, CMS

  • Case Manager/Care Coordinator
  • Lebanon, OH
National Provider Identifier
1790711869
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
258512 SYOtherVAHEALTHKEEPER COMMERCIAL
004945280MedicaidVA
147272 PMedicaidVA
258512 SYMedicaidVA
182407MedicaidVA
466955 DMedicaidVA
083618OtherVASENTARA - COMMERCIAL
083618MedicaidVA
466955 SXOtherVAHEALTHKEEPER COMMERCIAL
466955 SXMedicaidVA

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

LicenseStateTypeSpecialty
0710101979VAMDAddiction (Substance Use Disorder) Counselor
0701002138VAMDMental Health Counselor
0717000900VAMDMarriage & 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.

Verify at the official NPI Registry.