Individual provider Active NPI

Martha Ruth McDonald, MA, LPCC

  • Mental Health Counselor
  • Fairlawn, OH
National Provider Identifier
1194225003
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1500417 Issued in OH
Practice address
843 N Cleveland Massillon Rd
Fairlawn, OH 44333-2184
Phone
(330) 723-7977
Fax
(330) 239-8599
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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 C.1500417 OH Primary

Addresses

Primary practice location

843 N Cleveland Massillon Rd
Fairlawn, OH 44333-2184

Mailing address

7300 Whipple Ave NW Ste 2
North Canton, OH 44720-7159

Other practice location 1

7300 Whipple Ave NW Ste 2
North Canton, OH 44720-7159
Phone (330) 305-9100

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
I20240730003450 OH Practitioner - Mental Health Counselor 8729525407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Avenues of Counseling and MediationGroup PAC ID 6406931880, 27 clinicians

Practice addresses (Care Compare)

843 N Cleveland-Massillon Rd
Suite 6
Fairlawn, OH 44333-9303
Phone (330) 723-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C.1500417OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues of Counseling and Mediation Mental Health CurrentSince Jun 7, 2024 Accepting new patients
We Care Counseling, Inc Past Accepting new patients
Lisa Borchert Dba Avenues of Counseling Mental Health Past Accepting new patients
We Care Counseling, Inc. Past Accepting new patients

Locations

843 N Cleveland Massillon Rd
Ste 6
Fairlawn, OH 44333
Phone (330) 723-7977

843 N Cleveland Massillon Rd
Ste 9
Fairlawn, OH 44333

843 N Cleveland Massillon Rd
Fairlawn, OH 44333
Phone (330) 723-7977

230 S Court St
Ste 5
Medina, OH 44256
Phone (330) 723-7977

Organizations & group practices 4

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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1194225003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 WHIPPLE AVE NW STE 2",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 N CLEVELAND MASSILLON RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332184",
            "telephone_number": "330-723-7977",
            "fax_number": "330-239-8599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Whipple Ave NW Ste 2",
            "address_purpose": "LOCATION",
            "city": "North Canton",
            "state": "OH",
            "postal_code": "447207159",
            "country_code": "US",
            "telephone_number": "330-305-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MARTHA",
        "middle_name": "RUTH",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1500417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.