Individual provider Active NPI

Max Livada, LPCC

  • Professional Counselor
  • Dayton, OH
National Provider Identifier
1831709179
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2505555 Issued in OH
Practice address
1222 S Patterson Blvd Ste 120
Dayton, OH 45402-2643
Phone
(937) 288-3730
Fax
(937) 424-8762
NPI assigned
Aug 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2505555 OH Primary

Addresses

Primary practice location

1222 S Patterson Blvd Ste 120
Dayton, OH 45402-2643

Mailing address

1222 S Patterson Blvd Ste 120
Dayton, OH 45402-2643
Phone (937) 288-3730

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
I20250922002179 OH Practitioner - Mental Health Counselor 1456855428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11000 Optum Cir
Eden Prairie, MN 55344-2503

11085 Montgomery Rd
Suite 250
Cincinnati, OH 45249-2395

620 E Broad St
Suite 301
Columbus, OH 43215-4037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Ohio, Inc. CurrentSince Jul 22, 2025 Accepting new patients
Optum Behavioral Care of Ohio, Inc CurrentSince Jul 22, 2025 Accepting new patients
The Anxiety Center LLC CurrentSince Jan 1, 2026 Accepting new patients
The Anxiety Center LLC CurrentSince Jan 1, 2026 Accepting new patients
Optum Behavioral Care of Ohio, Inc Current Accepting new patients

Locations

620 E Broad St
Ste 301
Columbus, OH 43215
Phone (614) 674-6076

4624 Sawmill Rd
Columbus, OH 43220
Phone (614) 457-4490

11085 Montgomery Rd
Ste 250
Montgomery, OH 45249
Phone (513) 547-2861

2331 Far Hills Ave
Ste 300
Oakwood, OH 45419
Phone (937) 884-1087

Organizations & group practices 5

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": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1831709179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S PATTERSON BLVD STE 120",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022643",
            "telephone_number": "937-288-3730",
            "fax_number": "937-424-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S PATTERSON BLVD STE 120",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022643",
            "telephone_number": "937-288-3730",
            "fax_number": "937-424-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVADA",
        "first_name": "MAX",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-02",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2505555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.