Individual provider Active NPI

Evelyn Margaret Mahas

  • Counselor
  • Toledo, OH
National Provider Identifier
1114573532
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.2203084-SUPV Issued in OH
Practice address
7140 Port Sylvania Dr
Toledo, OH 43617-1176
Phone
(567) 408-7242
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.2203084-SUPV OH Primary

Addresses

Primary practice location

7140 Port Sylvania Dr
Toledo, OH 43617-1176

Mailing address

3909 Woodley Rd
Toledo, OH 43606-1169
Phone (419) 475-4449

Other practice location 1

123 22nd St
Toledo, OH 43604-2706
Phone (419) 475-4449

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
I20240716002933 OH Practitioner - Mental Health Counselor 7618412438 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2203084-SUPVOHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Counselor CurrentSince Apr 20, 2024 Accepting new patients
Harbor Past Accepting new patients

Locations

101 Clinton St
Defiance, OH 43512
Phone (419) 782-4196

7140 Port Sylvania Dr
Toledo, OH 43617
Phone (567) 408-7242

123 22nd St
Toledo, OH 43604
Phone (419) 241-6191

3909 Woodley Rd
Toledo, OH 43606
Phone (419) 725-3330

97 Houpt Dr
Upper Sandusky, OH 43351
Phone (419) 731-0720

Organizations & group practices 2

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": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1114573532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 WOODLEY RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061169",
            "telephone_number": "419-475-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 PORT SYLVANIA DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171176",
            "telephone_number": "567-408-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 22nd St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436042706",
            "country_code": "US",
            "telephone_number": "419-475-4449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAS",
        "first_name": "EVELYN",
        "middle_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.2203084-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.