Organization Active NPI

Cheshire Wellness LLC

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1831933787
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHESHIRE WELLNESS LLC
Practice address
6708 Cheviot Rd
Cincinnati, OH 45247-5116
Phone
(440) 213-3247
NPI assigned
Jun 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Mrs. Holly Aileen Disch Stoddard, MSSA, LISW, LICDCNPI 1306450150
Title
Owner/Manager/Provider
Phone
(440) 213-3247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6708 Cheviot Rd
Cincinnati, OH 45247-5116

Mailing address

6708 Cheviot Rd
Cincinnati, OH 45247-5116
Phone (440) 213-3247

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1831933787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 CHEVIOT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452475116",
            "telephone_number": "440-213-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6708 CHEVIOT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452475116",
            "telephone_number": "440-213-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESHIRE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "STODDARD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "AILEEN DISCH",
        "authorized_official_title_or_position": "OWNER/MANAGER/PROVIDER",
        "authorized_official_telephone_number": "440-213-3247",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSSA, LISW, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.