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MIAMI VALLEY RECOVERY, LLC
NPI 1285152496
Community/Behavioral Health in Dayton, OH

Active since September 07, 2017CLIA 36D2158773 · Waiver
1 ELIZABETH PL, SUITE NWB40, DAYTON, OH 45417(937) 401-8672(937) 853-8029 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 9, 2019, Jul 18, 2019, Jan 21, 2018 (3 updates tracked since 2018).

About Miami Valley Recovery, Llc NPPES

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

MIAMI VALLEY RECOVERY, LLC (NPI 1285152496) is a healthcare organization registered as a community/behavioral health in Dayton, Ohio and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through December 5, 2026 and lists William Thomas Chrisovergis, President, as its authorized official.

NPPES Registry Identity

NPI1285152496
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMIAMI VALLEY RECOVERY, LLC
Location Address1 ELIZABETH PL, SUITE NWB40Dayton, OH 45417-3445
Mailing Address1 Elizabeth Pl, Suite Nwb40Dayton, OH 45417-3445
Phone(937) 401-8672
Fax(937) 853-8029
Organization SubpartNo
Authorized OfficialWilliam Thomas ChrisovergisPresident · (614) 307-6894
Enumeration DateSeptember 7, 2017
Last NPPES UpdateDecember 9, 20193 updates tracked since enumeration
✔ NPI 1285152496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1 ELIZABETH PL, Dayton, OH 45417
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miami Valley Recovery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Miami Valley Recovery, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Monica Kasse, FNP-C
Nurse Practitioner
NPI 1790290815
3151 BELLEVUE AVE
Cincinnati, OH 45219
(513) 584-3200
✔ PECOS✔ Accepts Medicare47 mi
Abdul Shahid, M.D.
Interventional Pain Management
NPI 1063496586
1600 SW ARCHER RD
Gainesville, FL 32610
(352) 273-8610
✔ PECOS✔ Accepts Medicare707 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2158773

Miami Valley Recovery, LLC · Dayton, OH
Active · expires Dec 5, 2026
CLIA Number36D2158773
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorAbdul Shahid
Laboratory Phone(937) 401-8672
Laboratory LocationMiami Valley Recovery, LLC1 Elizabeth Place Suite Nwb40, Dayton, OH 45417
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Miami Valley Recovery, LLC's NPI number?

The NPI number for Miami Valley Recovery, LLC is 1285152496. It was assigned to this organization in the NPPES registry on September 7, 2017.

Where is Miami Valley Recovery, LLC located?

Miami Valley Recovery, LLC is located at 1 Elizabeth Pl Suite Nwb40, Dayton, OH 45417. The listed phone number is (937) 401-8672.

What is Miami Valley Recovery, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Miami Valley Recovery, LLC enrolled in Medicare?

Yes. Miami Valley Recovery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Miami Valley Recovery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Miami Valley Recovery, LLC, in Interventional Pain Management and Nurse Practitioner. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Miami Valley Recovery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2158773) is associated with this NPI, valid through December 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Miami Valley Recovery, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield list Miami Valley Recovery, LLC 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 Miami Valley Recovery, LLC was last updated on December 9, 2019. 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.