Mark R Stobie, PCC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E 0501350 Issued in OH

Practice address

1407 New Way Drive
Beavercreek, OH 45434

Phone

(937) 520-8437

Fax

(937) 320-9630

NPI assigned

Jun 27, 2007

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Oct 9, 2024 through Oct 9, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mind and Spirit Counseling and Education Services LLC.

  • Professional Counselor
  • Beavercreek, OH
  • NPI 1740553080
  NPD Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1265639991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 DAYTON XENIA RD",
            "address_2": "STE 900, PMB 108",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346390",
            "telephone_number": "937-520-8437",
            "fax_number": "937-320-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 NEW WAY DRIVE",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "45434",
            "telephone_number": "937-520-8437",
            "fax_number": "937-320-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOBIE",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "PCC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E 0501350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mattea D Stephens
• Carrie Steward, APRN-CNP
• David K Stewart, O.D.
• Ilana Stewart
• Modena J Stewart
• Jonathan Michael Stofer, MD, MPH
• Lauren Stoner
• Elayna Storts
• Tracy Reed Straka, FNP
• Christopher Joseph Strauchon, DO

• Professional Counselor in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.