Mr Jim Olderham, LPCC, CDCA in Hillsboro, OH - Medicare Counselor Provider

Mr Jim Olderham, LPCC, CDCA is a medicare enrolled "Counselor - Mental Health" provider in Hillsboro, Ohio. His current practice location is 325 S Elm St, Hillsboro, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 661-1682.

Mr Jim Olderham is licensed to practice in Ohio (license number E1901459) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013378470.

Contact Information

	Mr Jim Olderham, LPCC, CDCA
	325 S Elm St, Hillsboro, OH 45133-1305
	(937) 661-1682
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jim Olderham
Gender	Male
Speciality	Counselor - Mental Health
Location	325 S Elm St, Hillsboro, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013378470
Provider Enumeration Date: 03/14/2016
Last Update Date: 03/09/2020

Medicare PECOS Information:

PECOS PAC ID: 2769826650
Enrollment ID: I20240219003519

Medical Identifiers

Medical identifiers for Mr Jim Olderham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013378470	NPI	-	NPPES
292528	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C1500082 (Ohio)	Secondary
101YM0800X	Counselor - Mental Health	E1901459 (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. Mr Jim Olderham allows following entities to bill medicare on his behalf.

Entity Name	Real Life Solutions Behavioral Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952017188 PECOS PAC ID: 2668817891 Enrollment ID: O20240228000563

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. Mr Jim Olderham 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
Mr Jim Olderham, LPCC, CDCA 325 S Elm St, Hillsboro, OH 45133-1305 Ph: (937) 661-1682	Mr Jim Olderham, LPCC, CDCA 325 S Elm St, Hillsboro, OH 45133-1305 Ph: (937) 661-1682

Reviews and Comments

Counselor in Hillsboro, OH

Sarah Hardin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Erin Ct, Hillsboro, OH 45133 Phone: 937-393-4562
Crystal Weaver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Erin Ct, Hillsboro, OH 45133 Phone: 937-393-9720
Sarah Ann Reed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 Chillicothe Ave, Hillsboro, OH 45133 Phone: 937-393-9662
Roger Cheesbro, LPCC-S, LICDC-CS Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Erin Ct, Hillsboro, OH 45133 Phone: 937-393-4562 Fax: 937-393-2056
Chelsea Campbell, QMHS, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Uhrig St, Hillsboro, OH 45133 Phone: 740-400-0411
John Hancock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8831 State Route 785, Hillsboro, OH 45133 Phone: 740-947-6727

Mr Jim Olderham, LPCC, CDCA - Medicare Counselor in Hillsboro, OH