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JACQULINE NICOLE PRIDEMORE MA, LPCC-S
NPI 1407391295
Counselor - Professional in Cincinnati, OH

Active since January 03, 2017
4633 AICHOLTZ RD, CINCINNATI, OH 45244(513) 752-1555 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 4, 2020, Mar 9, 2020, Oct 11, 2019 and 3 more (6 updates tracked since 2017).

About Jacquline Nicole Pridemore Ma, Lpcc-s NPPES

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

JACQULINE NICOLE PRIDEMORE MA, LPCC-S (NPI 1407391295) is an individual professional provider in Cincinnati, Ohio, licensed in Ohio (E.1901080-SUPV) and active in the NPI registry since January 2017. She maintains a secondary practice location in Milford.

NPPES Registry Identity

NPI1407391295
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQULINE NICOLE PRIDEMORECredential: MA, LPCC-S
Location Address4633 AICHOLTZ RDCincinnati, OH 45244-1447
Mailing Address4629 Aicholtz RdCincinnati, OH 45244-1551 · (937) 403-5251
Phone(513) 752-1555
Sole ProprietorNo
Enumeration DateJanuary 3, 2017
Last NPPES UpdateAugust 4, 20206 updates tracked since enumeration
NPPES CertifiedAugust 4, 2020
✔ NPI 1407391295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in OH · E.1901080-SUPV✔ Licensed in OH · E.1901080
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C1500158 (OH)
4633 AICHOLTZ RD, Cincinnati, OH 45244
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Other Names 1

Former Name (1)Jacquline Nicole Watson Ma, Lpcc-s

Secondary Practice Location 1

Location 11449 Emerson LnMilford, OH 45150-2422 · Phone (937) 403-5251

Accepted Insurance

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

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.

JONAH ROGERS QMHS
Case Manager/Care Coordinator
4633 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 752-1555
CATHERINE RENA CRAVER
Peer Specialist
4633 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 752-1555
STACEY ANN THOMPSON
Case Manager/Care Coordinator
4633 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 752-1555
IDNIEL PAULA REYES
Case Manager/Care Coordinator
4633 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 752-1555
ROBYN BOYD
Social Worker
4633 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 752-1555
EMILY HAWS
Psychologist (Clinical Child & Adolescent)
4633 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 752-1555
DORIANN CARTER
Counselor
4633 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 752-1555
TIFFANY POUNCY
Case Manager/Care Coordinator
4633 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 752-1555

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 Jacquline Pridemore's NPI number?

The NPI number for Jacquline Pridemore is 1407391295. It was assigned to this individual provider in the NPPES registry on January 3, 2017. The provider is also known as Jacquline Nicole Watson Ma, Lpcc-S.

Where is Jacquline Pridemore located?

Jacquline Pridemore practices at 4633 Aicholtz Rd, Cincinnati, OH 45244. The listed phone number is (513) 752-1555.

What is Jacquline Pridemore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Jacquline Pridemore accept?

Health plans from CareSource list Jacquline Pridemore 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 Jacquline Pridemore was last updated on August 4, 2020. 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.