Individual provider Active NPI

Micah David Wright, CT

  • Mental Health Counselor
  • Shelby, OH
National Provider Identifier
1063242303
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2507394 Issued in OH
Practice address
169 Mansfield Ave
Shelby, OH 44875-1832
Phone
(567) 292-9211
NPI assigned
Aug 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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 C.2507394 OH Primary

Addresses

Primary practice location

169 Mansfield Ave
Shelby, OH 44875-1832

Mailing address

44 W Raleigh Ave
Mansfield, OH 44907-1334
Phone (330) 414-4576

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
I20260102000346 OH Practitioner - Mental Health Counselor 9335635044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

44 W Raleigh Ave
Mansfield, OH 44907-1334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2507394OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Community Services Inc Mental Health CurrentSince Dec 3, 2025 Accepting new patients
Bridges Community Services Inc Past Accepting new patients
Family Life Counseling & Psychiatric Services PastSince Aug 4, 2024 Accepting new patients

Locations

101 Westbrook Blvd
Upper Sandusky, OH 43351
Phone (419) 209-1100

116 E Spotswood Ave
Elkton, VA 22827

Organizations & group practices 3

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": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1063242303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W RALEIGH AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071334",
            "telephone_number": "330-414-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MANSFIELD AVE",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751832",
            "telephone_number": "567-292-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MICAH",
        "middle_name": "DAVID",
        "credential": "CT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-02",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2507394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, OH

Sources for this page

Verify at the official NPI Registry.