Active NPI
Margie W Mortimer, M.A., L.P.C.C.
- Professional Counselor
- Cincinnati, OH
National Provider Identifier
1174613467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E2013
- Practice address
- 10979 Reed Hartman Hwy
Suite 125
Cincinnati, OH 45242-2800 - Phone
- (513) 321-7702
- Fax
- (513) 321-4703
- NPI assigned
- Oct 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E2013 | OH | Primary |
Addresses
Primary practice location
10979 Reed Hartman Hwy
Suite 125
Cincinnati, OH 45242-2800
Mailing address
2874 Victoria Ave
Suite B
Cincinnati, OH 45208-1431
Phone (513) 321-7702
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140050555854 | Other | HUMANA | |
| 2003888 | Other | CIGNA BEHAVIORAL HEALTH | |
| NL724 | Other | NY | EMPIREBLUECROSSBLUESHIELD |
| 22000000222923 | Other | ANTHEM | |
| 5206754 | Other | AETNA | |
| 1-9H5565 | Other | HORIZON HEALTH | |
| 22000000222920 | Other | ANTHEM |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2013 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174613467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2874 VICTORIA AVE",
"address_2": "SUITE B",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452081431",
"telephone_number": "513-321-7702",
"fax_number": "513-321-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10979 REED HARTMAN HWY",
"address_2": "SUITE 125",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452422800",
"telephone_number": "513-321-7702",
"fax_number": "513-321-4703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTIMER",
"first_name": "MARGIE",
"middle_name": "W",
"credential": "M.A., L.P.C.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E2013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "140050555854",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2003888",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIREBLUECROSSBLUESHIELD",
"identifier": "NL724",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "22000000222923",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5206754",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON HEALTH",
"identifier": "1-9H5565",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "22000000222920",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.