Individual provider Active NPI

Marcos Ghali, PH.D., LPCC-S

  • Mental Health Counselor
  • Westlake, OH
National Provider Identifier
1184933574
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2202834-SUPV Issued in OH
Practice address
30604 Adams LN
Westlake, OH 44145-6449
Phone
(216) 200-9489
NPI assigned
Oct 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.2202834-SUPV OH Primary

Addresses

Primary practice location

30604 Adams LN
Westlake, OH 44145-6449

Mailing address

30604 Adams LN
Westlake, OH 44145-6449
Phone (216) 200-9489

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
I20240417000387 OH Practitioner - Mental Health Counselor 2961841457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E.2202834-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Well Counseling Services LLC Professional CurrentSince Jan 1, 2025 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1184933574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30604 ADAMS LN",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456449",
            "telephone_number": "216-200-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30604 ADAMS LN",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456449",
            "telephone_number": "216-200-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHALI",
        "first_name": "MARCOS",
        "credential": "PH.D., LPCC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-01",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2202834-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.