Demelza Victoria Stoudt, LPCC, NCC in Moraine, OH

Demelza Victoria Stoudt, LPCC, NCC is a medicare enrolled "Counselor - Professional" provider in Moraine, Ohio. Her current practice location is 3095 Kettering Blvd, Moraine, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 293-8300.

Demelza Victoria Stoudt is licensed to practice in Ohio (license number E.1400439) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629373683.

Contact Information

	Demelza Victoria Stoudt, LPCC, NCC
	3095 Kettering Blvd, Moraine, OH 45439-1983
	(937) 293-8300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Demelza Victoria Stoudt
Gender	Female
Speciality	Counselor - Professional
Location	3095 Kettering Blvd, Moraine, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629373683
Provider Enumeration Date: 01/21/2011
Last Update Date: 09/23/2021

Medicare PECOS Information:

PECOS PAC ID: 0345693503
Enrollment ID: I20240124003317

Medical Identifiers

Medical identifiers for Demelza Victoria Stoudt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629373683	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.1400439 (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Demelza Victoria Stoudt allows following entities to bill medicare on her behalf.

Entity Name	Butler Behavioral Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053377184 PECOS PAC ID: 9537061742 Enrollment ID: O20040127000062

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Demelza Victoria Stoudt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Demelza Victoria Stoudt, LPCC, NCC 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: () -	Demelza Victoria Stoudt, LPCC, NCC 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 293-8300

Reviews and Comments

Counselor in Moraine, OH

Ms. Bonnie R Parish, LISW-W/BCD Counselor Medicare: Accepting Medicare Assignments Practice Location: 2211 Arbor Blvd, Moraine, OH 45439 Phone: 937-222-9481 Fax: 937-222-3710
Laneisha Tiant Gardner, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Daruma Pkwy, Moraine, OH 45439 Phone: 937-262-3500 Fax: 937-262-5902
Amita Lee Pujara, M.S., PC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-534-1359 Fax: 937-534-1347
Mrs. Karla Renee Tolbert, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 513-604-8063
Mrs. Jennifer Louise Pettit, M. ED., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300
Hannah Blair, MSW, LSW, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300
Mrs. Michelle L Schaffer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1347

Demelza Victoria Stoudt, LPCC, NCC - Medicare Counselor in Moraine, OH