Individual provider Active NPI

Brenda B Haney, MSW LISW LCDC III

  • Addiction (Substance Use Disorder) Counselor
  • Dayton, OH
National Provider Identifier
1871577791
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
011369 Issued in OH
Practice address
652 Superior Ave
Dayton, OH 45402-6303
Phone
(937) 228-7216
NPI assigned
Dec 5, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 011369 OH Primary
Clinical Social Worker 1041C0700X I0019560 OH

Addresses

Primary practice location

652 Superior Ave
Dayton, OH 45402-6303

Mailing address

1830 Burroughs Dr
Dayton, OH 45406-4416
Phone (937) 648-4495

Other identifiers 1

IdentifierTypeStateIssuer
2272231MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AZ, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041222000001 OH Practitioner - Clinical Social Worker 9436117413 Reassigns benefits to 3 organizations
I20260219000280 AZ Practitioner - Clinical Social Worker 9436117413 Reassigns benefits to 1 organization
I20260304000023 OR Practitioner - Clinical Social Worker 9436117413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3440 Office Park Dr
Kettering, OH 45439-2214
Phone (937) 299-9060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011369OHMDAddiction (Substance Use Disorder) Counselor
I0019560OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clearing Path's Therapeutic Services, LTD CurrentSince Dec 17, 2015 Accepting new patients
Clearing Path's Therapeutic Services, LTD CurrentSince Nov 14, 2015 Accepting new patients
Cornerstone Family Care, P.C. CurrentSince Sep 18, 2000 Accepting new patients
Talkspace Provider Network PA CurrentSince Feb 19, 2024 Accepting new patients
Psycho Social Therapies,LTD Clinical CurrentSince Nov 20, 2018 Accepting new patients
Mental Health Specialty Group PA CurrentSince Feb 1, 2026 Accepting new patients
Psycho Social Therapies,LTD CurrentSince Nov 20, 2018 Accepting new patients
H &H Transportation Services, LTD Past Accepting new patients
Advanced Therapeutic Services Inc Past Accepting new patients
Joe Haney's Transportation Services,LTD Past Accepting new patients

Locations

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

23366 Commerce Park
Ste 100B
Beachwood, OH 44122
Phone (216) 292-2880

23715 Mercantile Rd
Ste A203
Beachwood, OH 44122
Phone (216) 292-2880

652 Superior Ave
Dayton, OH 45402
Phone (937) 228-7216

3440 Office Park Dr
Kettering, OH 45439
Phone (937) 299-9060

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1871577791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BURROUGHS DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454064416",
            "telephone_number": "937-648-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 SUPERIOR AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454026303",
            "telephone_number": "937-228-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "BRENDA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MSW LISW LCDC III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "011369",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0019560",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2272231",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.