Active NPI
Mark Pruden, L.P.C.C.
- Professional Counselor
- Cincinnati, OH
National Provider Identifier
1003007790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E1734
- Practice address
- 42 Calhoun St
Cincinnati, OH 45219-1525 - Phone
- (513) 861-6543
- Fax
- (513) 381-0016
- NPI assigned
- Aug 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E1734 | OH | Primary |
Addresses
Primary practice location
42 Calhoun St
Cincinnati, OH 45219-1525
Mailing address
PO Box 19971
Cincinnati, OH 45219-0971
Phone (513) 861-6543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1734 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1003007790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19971",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452190971",
"telephone_number": "513-861-6543",
"fax_number": "513-381-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 CALHOUN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452191525",
"telephone_number": "513-861-6543",
"fax_number": "513-381-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUDEN",
"first_name": "MARK",
"credential": "L.P.C.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-07",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E1734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.