Individual provider Active NPI

Mark Londeree, LPCC-S

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1104248418
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1200195-SUPV Issued in OH
Practice address
1560 S High St
Columbus, OH 43207-1803
Phone
(614) 274-1455
Fax
(614) 274-1433
NPI assigned
Jan 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 E.1200195-SUPV OH Primary

Addresses

Primary practice location

1560 S High St
Columbus, OH 43207-1803

Mailing address

1160 W Broad St
Columbus, OH 43222-1352
Phone (614) 274-1455

Other practice location 1

1160 W Broad St
Columbus, OH 43222-1352
Phone (614) 274-1455 ext. 323

Other practice location 2

90 Northwoods Blvd
Columbus, OH 43235-4719
Phone (614) 805-7430

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
I20260506003356 OH Practitioner - Mental Health Counselor 7214151190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1083 Firth Ave
Worthington, OH 43085-2913

1160 W Broad St
Columbus, OH 43222-1352

PO Box
Suite 2257
Chesterton, IN 46304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1200194OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Enterprises of Ohio LLC Professional CurrentSince May 20, 2026 Accepting new patients
Lower Lights Christian Health Center Inc Past Accepting new patients

Locations

90 Northwoods Blvd
Columbus, OH 43235
Phone (614) 259-7392

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": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1104248418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221352",
            "telephone_number": "614-274-1455",
            "fax_number": "614-274-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071803",
            "telephone_number": "614-274-1455",
            "fax_number": "614-274-1433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432221352",
            "country_code": "US",
            "telephone_number": "614-274-1455 x323",
            "fax_number": "614-274-1433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Northwoods Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432354719",
            "country_code": "US",
            "telephone_number": "614-805-7430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONDEREE",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-07",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1200195-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.