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TRACI DEMATTIA-TOTH LICDC
NPI 1184174922
Counselor - Addiction (Substance Use Disorder) in Mentor, OH

Active since October 05, 2016PECOS Enrolled
7232 JUSTIN WAY, MENTOR, OH 44060(440) 578-8200 Get Directions Write a Review

NPPES record last updated: October 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Traci Demattia-toth Licdc NPPES

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

TRACI DEMATTIA-TOTH LICDC (NPI 1184174922) is an individual addiction (substance use disorder) provider in Mentor, Ohio, licensed in Ohio (LICDC.121139) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184174922
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTRACI DEMATTIA-TOTHCredential: LICDC
Location Address7232 JUSTIN WAYMentor, OH 44060-4881
Mailing Address7232 Justin WayMentor, OH 44060-4881 · (440) 578-8200
Phone(440) 578-8200
Sole ProprietorYes
Enumeration DateOctober 5, 2016
Last NPPES UpdateOctober 9, 2021
NPPES CertifiedOctober 9, 2021
✔ NPI 1184174922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · LICDC.121139
7232 JUSTIN WAY, Mentor, OH 44060
Open in Google Maps ↗

Other Identifiers 1

Medicaid0187798OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Traci Demattia-toth Licdc 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 Reassignment

Medicare enrollment records show Traci Demattia-toth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signature Health, Inc
2.6 mi
Mental Health (Including Community Mental Health Center)
38876 MENTOR AVE
Willoughby, OH 44094
  • Reassigned Medicare billing, Ohio enrollment
  • 342 clinicians in this Medicare group
NPI 1477575348 (440) 953-9999

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.

DR. TIFFANY JONES M.D.
Psychiatry & Neurology (Psychiatry)
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
ASHLEY NICHOLE FOCHT
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
MRS. FATIMAAH D FULLILOVE LSW, LICDC
Social Worker (Clinical)
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
THERESA GILL LPCC
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
JAMIE GAMBRELL
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
CLOTILDA J RAYMOND
Social Worker
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
BRENDA BERRY SAMPLE
Case Manager/Care Coordinator
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
KIMBERLEE BIZUP LPCC-S
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200

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 Traci Demattia-toth's NPI number?

The NPI number for Traci Demattia-toth is 1184174922. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Where is Traci Demattia-toth located?

Traci Demattia-toth practices at 7232 Justin Way, Mentor, OH 44060. The listed phone number is (440) 578-8200.

What is Traci Demattia-toth's specialty?

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

Is Traci Demattia-toth enrolled in Medicare?

Yes. Traci Demattia-toth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Traci Demattia-toth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Traci Demattia-toth reassigns Medicare benefits to Signature Health, Inc (Willoughby, OH). The 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 Traci Demattia-toth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Traci Demattia-toth accept?

Health plans from CareSource list Traci Demattia-toth 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 Traci Demattia-toth was last updated on October 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.