MRS. MERCEDES NICOLE MODEN CDCA
NPI 1336763960
Counselor - Addiction (Substance Use Disorder) in Dayton, OH
NPI Status: Active since May 29, 2020
Contact Information
2632 WOODMAN CENTER CT
DAYTON, OH
ZIP 45420
Phone: (937) 739-7100
- Individual
- Female
- Counselor
- Addiction (Substance Use Disorder)
- Accepts Insurance
About MERCEDES MODEN
This page provides the complete NPI Profile along with additional information for Mercedes Moden, a provider established in Dayton, Ohio with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1336763960 assigned on May 2020. The practitioner's primary taxonomy code is 101YA0400X with license number CDCA.177104 (OH). The provider is registered as an individual and her NPI record was last updated July 2025.
- NPI
- 1336763960
- Provider Name
- MRS. MERCEDES NICOLE MODEN CDCA
- Other Name
- MERCEDES NICOLE JOHNSON CDCA
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2632 WOODMAN CENTER CT DAYTON, OH 45420
- Location Phone
- (937) 739-7100
- Mailing Address
- 8444 N 90TH ST STE 100 SCOTTSDALE, AZ 85258
- Mailing Phone
- (602) 248-8886
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-29-2020
- Last Update Date
- 07-21-2025
- Code Navigator
A Substance Abuse or Addiction Counselor like Mercedes Moden advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- CDCA.177104
- License State
- OH
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for MRS. MERCEDES NICOLE MODEN CDCA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 7 | 6 | 3 | 9 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 14 | 6 | 6 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 4 + 6 + 6 + 9 + 1 + 2 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1336763960 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487641585 | FIRST DAYTON RADIATION ONCOLOGY INC Organization | Radiology (Radiation Oncology) | 2632 WOODMAN CENTER CT KETTERING, OH 45420 (937) 293-2273 |
| 1205886512 | DONALD MARGER MD Individual | Radiology (Radiation Oncology) | 2632 WOODMAN CENTER CT KETTERING, OH 45420 (937) 293-2273 |
| 1710938220 | EDWARD HUGHES MD Individual | Radiology (Radiation Oncology) | 2632 WOODMAN CENTER CT KETTERING, OH 45420 (937) 293-2273 |
| 1093411878 | ROBYN AVERY MICHAEL REGISTERED NURSE Individual | Registered Nurse | 2632 WOODMAN CENTER CT KETTERING, OH 45420 (937) 739-7100 |
| 1235915331 | TIFFANY NICOLE WELLS Individual | Counselor (Addiction (Substance Use Disorder)) | 2632 WOODMAN CENTER CT KETTERING, OH 45420 (937) 739-7100 |
| 1013406602 | JANICE ELAINE SEBREE CDCA Individual | Counselor (Addiction (Substance Use Disorder)) | 2632 WOODMAN CENTER CT DAYTON, OH 45420 (937) 739-7100 |
| 1437722279 | JENNIFER LYN BOEHMER Individual | Behavior Analyst | 2632 WOODMAN CENTER CT DAYTON, OH 45420 (937) 739-7100 |
| 1003581174 | PREMIER CARE OF OHIO LLC Organization | Community/Behavioral Health | 2632 WOODMAN CENTER CT KETTERING, OH 45420 (937) 739-7100 |
| 1326713314 | PREMIER CARE OF OHIO LLC Organization | Clinic/Center (Methadone) | 2632 WOODMAN CENTER CT KETTERING, OH 45420 (977) 397-7100 |
| 1477265916 | PREMIER CARE OF OHIO LLC Organization | Clinic/Center (Methadone) | 2632 WOODMAN CENTER CT KETTERING, OH 45420 (937) 739-7100 |
| 1659084242 | PREMIER CARE OF OHIO LLC Organization | Clinic/Center (Methadone) | 2632 WOODMAN CENTER CT KETTERING, OH 45420 (937) 739-7100 |
| 1437917531 | MS. DELORES BENITA MCELROY LPN Individual | Licensed Practical Nurse | 2632 WOODMAN CENTER CT DAYTON, OH 45420 (937) 739-7100 |
| 1033257118 | DR. ERIC DAVID CHICO D.O. Individual | Family Medicine | 2632 WOODMAN CENTER CT KETTERING, OH 45420 (937) 739-7100 |
| 1942736012 | MS. MELANIE JEAN RICH RN Individual | Registered Nurse (Psychiatric/Mental Health) | 2632 WOODMAN CENTER CT DAYTON, OH 45420 (937) 739-7100 |
| 1316641517 | DEBORAH K HARDMAN CDCA Individual | Counselor (Addiction (Substance Use Disorder)) | 2632 WOODMAN CENTER CT KETTERING, OH 45420 (937) 739-7100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336763960, enumerated in the NPI registry as an "individual" on May 29, 2020
The provider is located at 2632 Woodman Center Ct Dayton, Oh 45420 and the phone number is (937) 739-7100
The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 29, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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