HEALTHSOURCE: LEBANON
NPI 1407288210
Clinic/Center in Lebanon, OH

Active since August 02, 2013
1231 COLUMBUS AVE, UNIT A 1, LEBANON, OH 45036(513) 696-4495(513) 228-1236 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2024, Apr 30, 2019, Oct 20, 2016 (3 updates tracked since 2016).

About Healthsource: Lebanon NPPES

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

HEALTHSOURCE: LEBANON (NPI 1407288210) is a healthcare organization registered as a clinic/center in Lebanon, Ohio and active in the NPI registry since August 2013. The organization lists Joseph W Prather Ii, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407288210
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHEALTHSOURCE OF OHIO, INC.
Location Address1231 COLUMBUS AVE, UNIT A 1Lebanon, OH 45036-8195
Mailing Address424 Wards Corner Rd Ste 200Loveland, OH 45140-6966 · (513) 707-4041 · Fax (513) 576-1020
Fax(513) 228-1236
Organization SubpartNo
Authorized OfficialJoseph W Prather IiCeo · (513) 707-4041
Enumeration DateAugust 2, 2013
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1407288210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1231 COLUMBUS AVE, Lebanon, OH 45036

Other Names 1

Doing Business AsHealthsource: Lebanon

Other Identifiers 1

Medicaid0099241OH

Accepted 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)

Healthsource: Lebanon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

79

Medicare enrollment records show 79 clinicians reassign Medicare billing to Healthsource: Lebanon, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner28
Family Practice14
Dentist11
Pediatric Medicine8
Clinical Psychologist6
Obstetrics/Gynecology6
Internal Medicine2
Optometry2
2 other specialties2

Nearest to this location (20)

See all 79
Family Practice
NPI 1790216273
1231 COLUMBUS AVE UNIT A1
Lebanon, OH 45036
(513) 695-4495
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881162048
1231 COLUMBUS AVE UNIT A1
Lebanon, OH 45036
(513) 696-4495
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1346618063
1231 COLUMBUS AVE UNIT A1
Lebanon, OH 45036
(513) 695-4495
✔ PECOS0.2 mi
Family Practice
NPI 1659398170
1231 COLUMBUS AVE UNIT A1
Lebanon, OH 45036
(513) 695-4495
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1376199067
957A CHERRY ST
Blanchester, OH 45107
(937) 783-7111
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1225585573
6694 GOSHEN RD STE 324
Goshen, OH 45122
(513) 592-3690
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1730188178
6535 CHARLES SNIDER RD
Loveland, OH 45140
(513) 575-1444
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1033804927
6535 CHARLES SNIDER RD
Loveland, OH 45140
(513) 575-1444
✔ PECOS16 mi
Clinical Psychologist
NPI 1740924448
6535 CHARLES SNIDER RD
Goshen, OH 45140
(513) 575-1444
✔ PECOS16 mi
Obstetrics/Gynecology
NPI 1942865811
6535 CHARLES SNIDER RD
Goshen, OH 45140
(513) 474-2870
✔ PECOS✔ Accepts Medicare16 mi
Obstetrics/Gynecology
NPI 1649767336
6535 CHARLES SNIDER RD
Goshen, OH 45140
(513) 474-2870
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1407454283
6535 CHARLES SNIDER RD
Loveland, OH 45140
(513) 575-1444
✔ PECOS✔ Accepts Medicare16 mi
Clinical Psychologist
NPI 1215380498
6535 SNIDER RD
Loveland, OH 45140
(513) 575-1444
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1609805589
424 WARDS CORNER RD STE 200
Loveland, OH 45140
(513) 707-4041
✔ PECOS✔ Accepts Medicare17 mi
Dentist
NPI 1811720527
455 WARDS CORNER RD STE 200
Loveland, OH 45140
(513) 688-8580
✔ PECOS17 mi
Optometry
NPI 1538240940
250 N FAIR AVE
Hamilton, OH 45011
(513) 454-1111
✔ PECOS20 mi
Pediatric Medicine
NPI 1841408358
4627 AICHOLTZ RD
Cincinnati, OH 45244
(513) 753-2820
✔ PECOS25 mi
Pediatric Medicine
NPI 1922539782
4627 AICHOLTZ RD
Cincinnati, OH 45244
(513) 753-2820
✔ PECOS25 mi
Dentist
NPI 1235230855
4627 AICHOLTZ RD
Cincinnati, OH 45244
(513) 753-5282
✔ PECOS25 mi
Optometry
NPI 1912169970
4627 AICHOLTZ RD
Cincinnati, OH 45244
(513) 928-9730
✔ PECOS✔ Accepts Medicare25 mi
See all 79 clinicians

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

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 Healthsource Of Ohio, Inc.'s NPI number?

The NPI number for Healthsource Of Ohio, Inc. is 1407288210. It was assigned to this organization in the NPPES registry on August 2, 2013. The provider is doing business as Healthsource: Lebanon.

Where is Healthsource Of Ohio, Inc. located?

Healthsource Of Ohio, Inc. is located at 1231 Columbus Ave Unit A 1, Lebanon, OH 45036. The listed phone number is (513) 696-4495.

What is Healthsource Of Ohio, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Healthsource Of Ohio, Inc. enrolled in Medicare?

Yes. Healthsource Of Ohio, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthsource Of Ohio, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 79 clinicians in 10 Medicare specialties reassign their Medicare billing to Healthsource Of Ohio, Inc.. 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. The largest specialties are Nurse Practitioner (28), Family Practice (14) and Dentist (11). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Healthsource Of Ohio, Inc. accept?

Health plans from Molina Healthcare list Healthsource Of Ohio, Inc. 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 Healthsource Of Ohio, Inc. was last updated on September 18, 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.