Craig William Mankin, PCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0003811 Issued in OH

Practice address

5134 Cedar Village Dr
3C
Mason, OH 45040-3717

Phone

(513) 229-7900

Fax

(513) 229-0202

NPI assigned

Dec 26, 2005

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1245217892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5134 CEDAR VILLAGE DR",
            "address_2": "3C",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403717",
            "telephone_number": "513-229-7900",
            "fax_number": "513-229-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5134 CEDAR VILLAGE DR",
            "address_2": "3C",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403717",
            "telephone_number": "513-229-7900",
            "fax_number": "513-229-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKIN",
        "first_name": "CRAIG",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-26",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0003811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Mason, OH
• Providers in Mason, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.