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MR. TIMOTHY MAXWELL LILES SWT, CDCA, QMHS, CMS
NPI 1376062992
Social Worker in Portsmouth, OH

Active since September 14, 2017PECOS Enrolled
519 COURT ST, PORTSMOUTH, OH 45662(740) 876-4370 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2024, Dec 17, 2019, Nov 24, 2018 and 2 more (5 updates tracked since 2017).

About Mr. Timothy Maxwell Liles Swt, Cdca, Qmhs, Cms NPPES

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

MR. TIMOTHY MAXWELL LILES SWT, CDCA, QMHS, CMS (NPI 1376062992) is an individual social worker in Portsmouth, Ohio, licensed in Ohio (S.1802660) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1376062992
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. TIMOTHY MAXWELL LILESCredential: SWT, CDCA, QMHS, CMS
Location Address519 COURT STPortsmouth, OH 45662-3933
Mailing Address923 Findlay StPortsmouth, OH 45662-4148
Phone(740) 876-4370
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 14, 2017
Last NPPES UpdateAugust 5, 20245 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1376062992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in OH · S.1802660
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.161932 (OH), LCDC.161605 (OH)
519 COURT ST, Portsmouth, OH 45662
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11514 6th StPortsmouth, OH 45662-4406 · Phone (740) 876-4370
Location 2411 Court StPortsmouth, OH 45662 · Phone (740) 354-6685
Location 3542 6th StreetPortsmouth, OH 45662 · Phone (740) 876-4370
Location 42828 Gallia StPortsmouth, OH 45662-4809 · Phone (740) 876-4370

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Timothy Maxwell Liles Swt, Cdca, Qmhs, Cms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163884818
PECOS Enrollment IDI20230814000837
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

4

Medicare enrollment records show Timothy Liles reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shawnee Counseling Center LLC
Same address
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
Cardinal Treatment Centers Inc
3.4 mi
Rehabilitation, Substance Use Disorder
4304 OLD SCIOTO TRL
Portsmouth, OH 45662
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group
NPI 1215589197 (740) 351-9298
Cardinal Treatment Centers Piketon, LLC
41 mi
Rehabilitation, Substance Use Disorder
440 WESTERN AVE
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 5 clinicians in this Medicare group
NPI 1194432591 (740) 351-9298
Aurora-Recovery, LLC
216 mi
Substance Abuse Rehabilitation Facility
7529 WARREN SHARON RD
Brookfield, OH 44403
  • Reassigned Medicare billing, Ohio enrollment
NPI 1114591849 (740) 415-1138

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
143 services16 patients

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.

MICHAEL E PAYTON
Counselor (Addiction (Substance Use Disorder))
519 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 876-4370
RYAN CARMON
Case Manager/Care Coordinator
519 COURT ST
PORTSMOUTH, OH 45662
Scioto County (220) 221-6520
MATTHEW PEOPLES
Counselor
519 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 876-4370
SARA STURGILL
Registered Nurse
519 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 876-4370
RICHARD PRATT
Case Manager/Care Coordinator
519 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 876-4370
SHAWNEE COUNSELING CENTER LLC
Substance Abuse Rehabilitation Facility
519 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 876-4370
SEAN BOWER
Case Manager/Care Coordinator
519 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 876-4370
MR. RYAN JAMES HORROCKS
Health and Wellness Coach
519 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 876-4370

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 Timothy Liles's NPI number?

The NPI number for Timothy Liles is 1376062992. It was assigned to this individual provider in the NPPES registry on September 14, 2017.

Where is Timothy Liles located?

Timothy Liles practices at 519 Court St, Portsmouth, OH 45662. The listed phone number is (740) 876-4370.

What is Timothy Liles's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Timothy Liles enrolled in Medicare?

Yes. Timothy Liles is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Timothy Liles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Liles reassigns Medicare benefits to 4 organizations: Shawnee Counseling Center LLC (Portsmouth, OH), Cardinal Treatment Centers Inc (Portsmouth, OH), Cardinal Treatment Centers Piketon, LLC (Chillicothe, OH) and Aurora-Recovery, LLC (Brookfield, 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 Timothy Liles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Liles accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Timothy Liles 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 Timothy Liles was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.