Individual provider Active NPI

Ciara Bobbitt, LPCC-S, LICDC-CS

  • Mental Health Counselor
  • Germantown, OH
National Provider Identifier
1992115745
Registry record updated Mar 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1700103 Issued in OH
Practice address
130 Farmersville Pike
Germantown, OH 45327-1029
Phone
(740) 253-3915
NPI assigned
May 2, 2014
Last updated
Mar 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 161446 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.140268-PRE OH
Mental Health Counselor 101YM0800X 1700103 OH Primary

Addresses

Primary practice location

130 Farmersville Pike
Germantown, OH 45327-1029

Mailing address

130 Farmersville Pike
Germantown, OH 45327-1029
Phone (740) 253-3915

Other practice location 1

100 Elmwood Park Dr
Dayton, OH 45449-5402
Phone (937) 384-0580

Other practice location 2

7597 Bridgetown Rd
Cincinnati, OH 45248-2019
Phone (513) 941-4999

Other identifiers 1

IdentifierTypeStateIssuer
0257929MedicaidOH

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
I20241028000691 OH Practitioner - Mental Health Counselor 9335672575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

130 Farmersville Pike
Germantown, OH 45327-1029
Phone (937) 681-3536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
161446OHMDAddiction (Substance Use Disorder) Counselor
CDCA.140268-PREOHMDAddiction (Substance Use Disorder) Counselor
1700103OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Best Life E-Therapy LLC Addiction (Substance Use Disorder) CurrentSince Mar 27, 2023 Accepting new patients
Recovery Works Holding Company LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/recoveryworkshealingcenter/r4/

Organizations & group practices 2

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": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679702400000",
    "number": "1992115745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FARMERSVILLE PIKE",
            "city": "GERMANTOWN",
            "state": "OH",
            "postal_code": "453271029",
            "telephone_number": "740-253-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FARMERSVILLE PIKE",
            "city": "GERMANTOWN",
            "state": "OH",
            "postal_code": "453271029",
            "telephone_number": "740-253-3915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Elmwood Park Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454495402",
            "country_code": "US",
            "telephone_number": "937-384-0580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7597 Bridgetown Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452482019",
            "country_code": "US",
            "telephone_number": "513-941-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBBITT",
        "first_name": "CIARA",
        "credential": "LPCC-S, LICDC-CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161446",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.140268-PRE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "1700103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257929",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, OH

Sources for this page

Verify at the official NPI Registry.