Individual provider Active NPI

Mary K. Kasberg, LPCC-S

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1063700532
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0501082-S Issued in OH
Practice address
3964 E Main St
Columbus, OH 43213-2949
Phone
(614) 252-2500
Fax
(614) 252-4200
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0501082-S OH Primary

Addresses

Primary practice location

3964 E Main St
Columbus, OH 43213-2949

Mailing address

9906 Long Rd
Canal Winchester, OH 43110-9706
Phone (614) 439-2990

Other practice location 1

9906 Long Rd
Canal Winchester, OH 43110-9706
Phone (614) 439-2990

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

LicenseStateTypeSpecialty
E0501082-SOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Counseling Center, LLC PastSince Jun 16, 2026 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19513/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063700532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9906 LONG RD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109706",
            "telephone_number": "614-439-2990",
            "fax_number": "614-252-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132949",
            "telephone_number": "614-252-2500",
            "fax_number": "614-252-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9906 Long Rd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431109706",
            "country_code": "US",
            "telephone_number": "614-439-2990",
            "fax_number": "614-252-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASBERG",
        "first_name": "MARY",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0501082-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.