Individual provider Active NPI

Dawn Louise McCoy, L.I.S.W.

  • Mental Health Counselor
  • Lancaster, OH
National Provider Identifier
1003947094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I. 0008271 Issued in OH
Practice address
123 S Broad St
Lancaster, OH 43130-4304
Phone
(740) 438-2946
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I. 0008271 OH Primary

Addresses

Primary practice location

123 S Broad St
Lancaster, OH 43130-4304

Mailing address

38 Blue Valley Rd SE
Lancaster, OH 43130-8367
Phone (740) 438-2946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041221000623 OH Practitioner - Clinical Social Worker 1355309477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

337 E Main St
Lancaster, OH 43130-3845
Phone (740) 438-2946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I. 0008271OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn McCoy LLC CurrentSince Jun 8, 2010 Accepting new patients
Chris Buck and Associates, LLC Mental Health Past Accepting new patients

Locations

337 E Main St
Lancaster, OH 43130
Phone (740) 407-3213

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003947094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BLUE VALLEY RD SE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308367",
            "telephone_number": "740-438-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S BROAD ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304304",
            "telephone_number": "740-438-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "DAWN",
        "middle_name": "LOUISE",
        "credential": "L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I. 0008271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.