DEMELZA VICTORIA STOUDT (LPCC , NCC) – Professional Counselor, NPI 1629373683

DEMELZA VICTORIA STOUDT (LPCC , NCC) is a healthcare provider. based in Moraine, Ohio. specializing in Professional Counselor. They hold the professional credentials LPCC , NCC. They hold a License No. E.1400439 (OH). The NPI Number for DEMELZA VICTORIA STOUDT (LPCC , NCC) is 1629373683

Main info

Female
Name
DEMELZA VICTORIA STOUDT (LPCC , NCC)
NPI
1629373683
Phone
(937) 293-8300
Address
3095 KETTERING BLVD
Enumeration Date
21 January 2011
Last Update Date
23 September 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for DEMELZA VICTORIA STOUDT (LPCC , NCC)

  • 3095 KETTERING BLVD

    MORAINE, OH 454391983

    Phone: (937) 293-8300

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240124003317IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45439)

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Reviews

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Frequently asked questions

Can I use this page to confirm DEMELZA VICTORIA STOUDT (LPCC , NCC)'s NPI?
Yes. DEMELZA VICTORIA STOUDT (LPCC , NCC) is listed with NPI 1629373683 in the public NPI dataset.
Can I rely on DEMELZA VICTORIA STOUDT (LPCC , NCC) being an active provider?
As of the registry snapshot, DEMELZA VICTORIA STOUDT (LPCC , NCC) is marked active.
What taxonomy line describes DEMELZA VICTORIA STOUDT (LPCC , NCC)?
For research purposes, treat DEMELZA VICTORIA STOUDT (LPCC , NCC) as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DEMELZA VICTORIA STOUDT (LPCC , NCC)?
DEMELZA VICTORIA STOUDT (LPCC , NCC)'s geographic hint is Moraine, Ohio in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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