1. Home
  2. Directory
  3. Ohio
  4. Portsmouth
  5. Counselor
  6. NPI Profile

CHARLES OLIVER CDCA
NPI 1164935284
Counselor - Addiction (Substance Use Disorder) in Portsmouth, OH

Active since November 11, 2017PECOS Enrolled
411 COURT ST, PORTSMOUTH, OH 45662(740) 354-6685 Get Directions Write a Review

NPPES record last updated: November 24, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 24, 2018, Nov 11, 2017 (2 updates tracked since 2017).

About Charles Oliver Cdca NPPES

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

CHARLES OLIVER CDCA (NPI 1164935284) is an individual addiction (substance use disorder) provider in Portsmouth, Ohio, licensed in Ohio (150256) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164935284
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCHARLES OLIVERCredential: CDCA
Location Address411 COURT STPortsmouth, OH 45662-3932
Mailing Address923 Findlay StPortsmouth, OH 45662-4148
Phone(740) 354-6685
Sole ProprietorYes
Enumeration DateNovember 11, 2017
Last NPPES UpdateNovember 24, 20182 updates tracked since enumeration
✔ NPI 1164935284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 150256
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License QMHS3 (OH)
411 COURT ST, Portsmouth, OH 45662
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Oliver Cdca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Charles Oliver reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shawnee Counseling Center LLC
0.1 mi
Substance Abuse Rehabilitation Facility
519 COURT ST
Portsmouth, OH 45662
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group
NPI 1033695051 (740) 876-4370
Phoenix Center, Inc.
22 mi
Addiction (Substance Use Disorder)
1007 N 2ND ST
Ironton, OH 45638
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group
NPI 1063044394 (740) 442-7045

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

HEITH GRAY
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
CHLOE BRASHEAR
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
TYSON COPLEY
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
SETH DIXON CMS
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
SHANNON GILLIAM
Peer Specialist
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
FREEDOM SCOTT
Licensed Practical Nurse
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
ANDREW JENKINS
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
MELISSA KAY FISHER CDCA
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6968

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 Charles Oliver's NPI number?

The NPI number for Charles Oliver is 1164935284. It was assigned to this individual provider in the NPPES registry on November 11, 2017.

Where is Charles Oliver located?

Charles Oliver practices at 411 Court St, Portsmouth, OH 45662. The listed phone number is (740) 354-6685.

What is Charles Oliver's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Charles Oliver enrolled in Medicare?

Yes. Charles Oliver is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Oliver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Oliver reassigns Medicare benefits to 2 organizations: Shawnee Counseling Center LLC (Portsmouth, OH) and Phoenix Center, Inc. (Ironton, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Oliver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Oliver accept?

Health plans from Molina Healthcare list Charles Oliver 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 Charles Oliver was last updated on November 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.