Matthew Thomas Mueller, LICDC | |
1501 Madison Rd, Walnut Hills, OH 45206-1706 | |
(513) 354-5200 | |
Not Available |
Full Name | Matthew Thomas Mueller |
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Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1501 Madison Rd, Walnut Hills, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902315542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E.2203227 (Ohio) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161544 (Ohio) | Primary |
Entity Name | Greater Cincinnati Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588626097 PECOS PAC ID: 3870498355 Enrollment ID: O20031208000060 |
Mailing Address | Practice Location Address |
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Matthew Thomas Mueller, LICDC 1016 Beacon St, Cincinnati, OH 45230-3606 Ph: (513) 317-1168 | Matthew Thomas Mueller, LICDC 1501 Madison Rd, Walnut Hills, OH 45206-1706 Ph: (513) 354-5200 |
Robert Cargioli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-7100 | |
Frederick Anderson, QMHS BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-5200 | |
Krista Lyons, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-5200 | |
Jessica Shamblin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-5200 Fax: 513-354-5331 | |
James Stentz, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-1321 | |
Kelly Smith-trondle, PCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-7323 | |
Jessica Hanekamp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Madison Rd, Walnut Hills, OH 45206 Phone: 513-354-5200 |