Individual provider Active NPI

David Douglas Zachau, M.A., P.C.C.

  • Mental Health Counselor
  • Elyria, OH
National Provider Identifier
1033135199
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0000380 Issued in OH
Practice address
750 S Abbe Rd
Elyria, OH 44035-7246
Phone
(440) 323-5121
Fax
(440) 323-5134
NPI assigned
Jul 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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 E0000380 OH Primary

Addresses

Primary practice location

750 S Abbe Rd
Elyria, OH 44035-7246

Mailing address

11209 Arrowhead Dr
Grafton, OH 44044-9774

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
I20251111001799 OH Practitioner - Mental Health Counselor 6800387531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psych and Psych Services,LLCGroup PAC ID 8325367675, 8 clinicians

Practice addresses (Care Compare)

750 Abbe Rd S
Elyria, OH 44035-7246
Phone (440) 323-5121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E0000380OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psych & Psych Services, LLC CurrentSince Aug 21, 2025 Accepting new patients

Locations

750 Abbe Rd S
Elyria, OH 44035
Phone (440) 323-5121

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033135199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 ARROWHEAD DR",
            "city": "GRAFTON",
            "state": "OH",
            "postal_code": "440449774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S ABBE RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440357246",
            "telephone_number": "440-323-5121",
            "fax_number": "440-323-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHAU",
        "first_name": "DAVID",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "M.A., P.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0000380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.