Individual provider Active NPI

Ann Marie McHale, LPCCS, LSW

  • Professional Counselor
  • Coventry Township, OH
National Provider Identifier
1174746754
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0003733 Issued in OH
Practice address
3445 S Main St
Coventry Township, OH 44319-3028
Phone
(303) 644-4095
Fax
(330) 645-2033
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X E0003733 OH
Professional Counselor 101YP2500X E0003733 OH Primary

Addresses

Primary practice location

3445 S Main St
Coventry Township, OH 44319-3028

Mailing address

3445 S Main St
Coventry Township, OH 44319-3028
Phone (303) 644-4095

Other practice location 1

96 Graham Road
Reserve Psychological Consultants Inc Suite A
Cuyahoga Falls, OH 44223
Phone (330) 929-1326

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

State licenses

LicenseStateTypeSpecialty
E0003733OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1174746754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 S MAIN ST",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443193028",
            "telephone_number": "303-644-4095",
            "fax_number": "330-645-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 S MAIN ST",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443193028",
            "telephone_number": "303-644-4095",
            "fax_number": "330-645-2033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Graham Road",
            "address_2": "Reserve Psychological Consultants Inc Suite A",
            "address_purpose": "LOCATION",
            "city": "Cuyahoga Falls",
            "state": "OH",
            "postal_code": "44223",
            "country_code": "US",
            "telephone_number": "330-929-1326",
            "fax_number": "330-929-1327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCHALE",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "LPCCS, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E0003733",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0003733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.