MR. SEAN M. BLYTH LICDC
NPI 1588199244
Counselor - Addiction (Substance Use Disorder) in Cincinnati, OH

Active since May 01, 2017PECOS EnrolledAccepts Medicare Assignment
453 ADA ST, CINCINNATI, OH 45219(513) 675-7632 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2023, May 11, 2023, Jan 3, 2022 and 1 more (4 updates tracked since 2019).

About Mr. Sean M. Blyth Licdc NPPES

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

MR. SEAN M. BLYTH LICDC (NPI 1588199244) is an individual addiction (substance use disorder) provider in Cincinnati, Ohio, licensed in Ohio (LICDC141011) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1588199244
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. SEAN M. BLYTHCredential: LICDC
Location Address453 ADA STCincinnati, OH 45219-1103
Mailing Address453 Ada StCincinnati, OH 45219-1103 · (513) 675-7632
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 1, 2017
Last NPPES UpdateMay 19, 20234 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
NPI 1588199244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · LICDC141011
Also ListedSocial WorkerTaxonomy 104100000X · License S.1701726 (OH)
453 ADA ST, Cincinnati, OH 45219

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Sean M. Blyth Licdc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597278317
PECOS Enrollment IDI20250703000427
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.

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 Sean Blyth's NPI number?

The NPI number for Sean Blyth is 1588199244. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Where is Sean Blyth located?

Sean Blyth practices at 453 Ada St, Cincinnati, OH 45219. The listed phone number is (513) 675-7632.

What is Sean Blyth's specialty?

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

Is Sean Blyth enrolled in Medicare?

Yes. Sean Blyth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sean Blyth accept?

Health plans from CareSource and MedMutual list Sean Blyth 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 Sean Blyth was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.