JOHN WIDMER LPCC, LCDC-III
NPI 1942638408
Counselor - Mental Health in Middletown, OH

Q: What is John Widmer's NPI number?

The NPI number for John Widmer is 1942638408. It was assigned to this individual provider in the NPPES registry on October 21, 2013.

Q: What is John Widmer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for John Widmer was last updated on November 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 21, 2013PECOS EnrolledAccepts Medicare Assignment

4464 S DIXIE HWY, MIDDLETOWN, OH 45005(513) 649-8008(513) 649-8004 Get Directions Write a Review

NPPES record last updated: November 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2017, Feb 7, 2017 (2 updates tracked since 2017).

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About John Widmer Lpcc, Lcdc-iii NPPES

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

JOHN WIDMER LPCC, LCDC-III (NPI 1942638408) is an individual mental health provider in Middletown, Ohio, licensed in Ohio (E-0501359) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1942638408

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJOHN WIDMERCredential: LPCC, LCDC-III

Location Address4464 S DIXIE HWYMiddletown, OH 45005-5464

Mailing Address4464 S Dixie HwyMiddletown, OH 45005-5464 · (513) 649-8008 · Fax (513) 649-8004

Phone(513) 649-8008

Fax(513) 649-8004

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateOctober 21, 2013

Last NPPES UpdateNovember 5, 20172 updates tracked since enumeration

✔ NPI 1942638408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · E-0501359

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCDCIII.091022 (OH)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License E.0501359 (OH)

4464 S DIXIE HWY, Middletown, OH 45005

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Other Identifiers 4

Other01-0693OH · Carf

Other0074946OH · Ohio Dept. Mental Health (group)

Other0074861OH · Ohio Dept. Drug & Alcohol (group)

OtherH130910OH · Medicare Group Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.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

John Widmer Lpcc, Lcdc-iii 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 ID3173976388

PECOS Enrollment IDI20240124001370

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.

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.

LISA IGO PCC LCDCIII

Counselor (Professional)