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MARY NICHOLE FUNKHOUSER CDCA
NPI 1457117954
Counselor - Addiction (Substance Use Disorder) in Xenia, OH

Active since February 22, 2024
215 S ALLISON AVE, XENIA, OH 45385(937) 352-6490(937) 888-4008 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mary Nichole Funkhouser Cdca NPPES

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

MARY NICHOLE FUNKHOUSER CDCA (NPI 1457117954) is an individual addiction (substance use disorder) provider in Xenia, Ohio, licensed in Ohio (CDCA.192961) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1457117954
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY NICHOLE FUNKHOUSERCredential: CDCA
Location Address215 S ALLISON AVEXenia, OH 45385-3694
Mailing Address1539 Alameda DrXenia, OH 45385-1203 · (937) 768-2547
Phone(937) 352-6490
Fax(937) 888-4008
Sole ProprietorYes
Enumeration DateFebruary 22, 2024
Last NPPES UpdateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
✔ NPI 1457117954 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 · CDCA.192961
215 S ALLISON AVE, Xenia, OH 45385
Open in Google Maps ↗

Other Identifiers 1

OtherCDCA.192961OH · Chemicaldependencyprofessionalsboard

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.

CHRISTINA REDWINE
Registered Nurse (Case Management)
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 672-4085
BENJAMIN STEWART
Case Manager/Care Coordinator
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 352-6490
MAQUIDA L LAWSON
Case Manager/Care Coordinator
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 352-6490
SARAH STUDINARZ
Counselor (Addiction (Substance Use Disorder))
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 352-6490
SHANNON L GRAHAM
Counselor (Addiction (Substance Use Disorder))
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 352-6490
HEIDI BAKER
Case Manager/Care Coordinator
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 352-6490
KIMBERLY JOY DILLARD
Counselor (Addiction (Substance Use Disorder))
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 352-6490
MR. FORREST T FORNASH PA
Physician Assistant (Medical)
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 903-1868

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 Mary Funkhouser's NPI number?

The NPI number for Mary Funkhouser is 1457117954. It was assigned to this individual provider in the NPPES registry on February 22, 2024.

Where is Mary Funkhouser located?

Mary Funkhouser practices at 215 S Allison Ave, Xenia, OH 45385. The listed phone number is (937) 352-6490.

What is Mary Funkhouser's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Funkhouser was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.