MR. JIM OLDERHAM LPCC, CDCA
NPI 1013378470
Counselor - Mental Health in Hillsboro, OH

Active since March 14, 2016PECOS Enrolled
325 S ELM ST, HILLSBORO, OH 45133(937) 661-1682 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2020, Mar 2, 2020, Mar 14, 2016 (3 updates tracked since 2016).

About Mr. Jim Olderham Lpcc, Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JIM OLDERHAM LPCC, CDCA (NPI 1013378470) is an individual mental health provider in Hillsboro, Ohio, licensed in Ohio (E1901459) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1013378470
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JIM OLDERHAMCredential: LPCC, CDCA
Location Address325 S ELM STHillsboro, OH 45133-1305
Mailing Address325 S Elm StHillsboro, OH 45133-1305 · (937) 661-1682
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 14, 2016
Last NPPES UpdateMarch 9, 20203 updates tracked since enumeration
NPPES CertifiedMarch 9, 2020
NPI 1013378470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in OH · E1901459 Licensed in OH · C1500082
325 S ELM ST, Hillsboro, OH 45133

Other Identifiers 1

Medicaid292528OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Jim Olderham Lpcc, Cdca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769826650
PECOS Enrollment IDI20240219003519
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
325 S ELM ST
HILLSBORO, OH 45133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jim Olderham's NPI number?

The NPI number for Jim Olderham is 1013378470. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Where is Jim Olderham located?

Jim Olderham practices at 325 S Elm St, Hillsboro, OH 45133. The listed phone number is (937) 661-1682.

What is Jim Olderham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jim Olderham enrolled in Medicare?

Yes. Jim Olderham is registered in the Medicare PECOS enrollment system.

What insurance does Jim Olderham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 4 other insurers list Jim Olderham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jim Olderham was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.