Active NPI 1285176685 Individual Practitioner Female Practitioner

Amy Theodor , MS, LPCC-S, NCC

Counselor - Professional • Bellbrook, OH

Professional Overview & Biography Verified Profile Summary

Amy Theodor, MS, LPCC-S, NCC is a registered healthcare professional specializing in Counselor - Professional in Bellbrook, OH. Practice services are available at 4266 FOWLER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4266 Fowler Dr

Bellbrook, OH 453051171

Telephone 9378230177

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bellbrook, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 15.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Bellbrook, OH (6923 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-15

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.0900110-SUPV

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location February 15, 2023

Registered at 4266 FOWLER DR, BELLBROOK, OH 453051171 (Tel: 9378230177)

📍

Updated Business Mailing Address February 15, 2023

Registered at 4266 FOWLER DR, BELLBROOK, OH 453051171

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2023

Counselor

📍

Updated Practice Location May 29, 2019

Registered at 3171 BEAVER VU DR STE C, BEAVERCREEK, OH 454346368 (Tel: 9374262113)

📍

Updated Business Mailing Address March 13, 2019

Registered at 3171 BEAVER VU DR STE C, BEAVERCREEK, OH 454346368

✅

NPI Profile Active November 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 16, 2016

Registered at 4266 FOWLER DR, BELLBROOK, OH 453051171 (Tel: 9378230177)

📍

Updated Business Mailing Address November 16, 2016

Registered at 4266 FOWLER DR, BELLBROOK, OH 453051171

👤

Provider Name / Credentials Updated November 16, 2016

Recorded as AMY THEODOR, MS, LPCC-S, NCC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2016

Counselor (License #E.0900110-SUPV in OH)

🟢

Initial NPI Registration & Enumeration November 16, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285176685

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 16, 2016

Last Update: February 15, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4266 Fowler Dr

Bellbrook, OH 453051171

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.