Katie A Marchinchin, MA, P.C.C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9930 Johnnycake Ridge Rd Ste 4F
Mentor, OH 44060-6762

Phone

(440) 579-5100

Fax

(440) 579-5104

NPI assigned

Jun 2, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Katie Goodhue Former name

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Neo Counseling Services, LLCGroup PAC ID 8224401898, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Neo Counseling Services, LLC

  • Mental Health Counselor
  • Mentor, OH
  • NPI 1528421252
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1083908586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9930 JOHNNYCAKE RIDGE RD STE 4F",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606762",
            "telephone_number": "440-579-5100",
            "fax_number": "440-579-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 JOHNNYCAKE RIDGE RD STE 4F",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606762",
            "telephone_number": "440-579-5100",
            "fax_number": "440-579-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHINCHIN",
        "first_name": "KATIE",
        "middle_name": "A",
        "credential": "MA, P.C.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1000347",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0208743",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0483044",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069738",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "GOODHUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanna Eileen Mannon, CDCA
• Jamie Mapes
• Gina Marafiote, LPCC
• Marc Glassman Inc
• Terrelle Marchand-Baum
• Frank A Margharet, DDS
• Kendra Marie Mariacher, PA-C
• Aliye Claire Marine, APRN
• Lucia A Marinu
• Rachel E. Markle, RPH

• Mental Health Counselor in Mentor, OH
• Providers in Mentor, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.