Deeann Nicole Mock, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1100327 Issued in OH

Practice address

192 Chestnut Ridge Rd
West Union, OH 45693-9584

Phone

(375) 445-5819

Fax

(740) 353-1662

NPI assigned

Aug 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shawnee Mental Health Center, Inc.

  dba Shawnee Family Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portsmouth, OH
  • NPI 1336173236
  Medicare reassignment NPD
• Shawnee Mental Health Center, Inc.

  dba Shawnee Family Health Center

  • Community/Retail Pharmacy
  • Portsmouth, OH
  • NPI 1992524045
  NPD
• Ridge HVP LLC

  • Substance Abuse Rehabilitation Facility
  • Batavia, OH
  • NPI 1558616375
  NPD (past)
• Shawnee Mental Health Center, Inc.

  dba DBA Shawnee Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Portsmouth, OH
  • NPI 1063982924
  NPD (past)
• Shawnee Mental Health Center, Inc.

  dba DBA Shawnee Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Coal Grove, OH
  • NPI 1225508195
  NPD (past)
• Shawnee Mental Health Center, Inc.

  dba Shawnee Family Health Center

  • Clinic/Center
  • Portsmouth, OH
  • NPI 1730682733
  NPD (past)
• Shawnee Mental Health Center, Inc.

  dba DBA Shawnee Family Health Center

  • Federally Qualified Health Center (FQHC)
  • West Union, OH
  • NPI 1750851622
  NPD (past)

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1154754703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WASHINGTON ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623944",
            "telephone_number": "740-354-7702",
            "fax_number": "403-531-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 CHESTNUT RIDGE RD",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456939584",
            "telephone_number": "375-445-5819",
            "fax_number": "740-353-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "DEEANN",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "1100327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Sue McKee, STNA
• Helen Louise Merz
• Courtney Renee Miller
• Katrina J Miller, LSW
• Valeria Miller, CDCA
• Ryan Lee Moehlman
• Heather Moffett, RN
• Kandy Lea Moore, LPC
• Crystal Morris
• Rylee Dayle Murphy

• Professional Counselor in West Union, OH
• Providers in West Union, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.