Provider Demographics
NPI:1669445961
Name:BUTTS, RICK ALLEN (LPCC)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:ALLEN
Last Name:BUTTS
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7577 CENTRAL PARKE BLVD
Mailing Address - Street 2:SUITE 226
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040
Mailing Address - Country:US
Mailing Address - Phone:513-204-5843
Mailing Address - Fax:513-229-8385
Practice Address - Street 1:7577 CENTRAL PARKE BLVD
Practice Address - Street 2:SUITE 226
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040
Practice Address - Country:US
Practice Address - Phone:513-204-5843
Practice Address - Fax:513-229-8385
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0001984101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000321412OtherANTHEM BCBS
OH229550000OtherMAGELLAN HEALTH SERVICES