Individual provider Active NPI

Mary Doherty, LPCC

  • Professional Counselor
  • North Olmsted, OH
National Provider Identifier
1295116796
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E1700371 Issued in OH
Practice address
28922 Lorain Rd Ste 100
North Olmsted, OH 44070-4053
Phone
(440) 345-8265
NPI assigned
Jun 11, 2015
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E1700371 OH
Professional Counselor 101YP2500X E1700371 OH Primary

Addresses

Primary practice location

28922 Lorain Rd Ste 100
North Olmsted, OH 44070-4053

Mailing address

28922 Lorain Rd Ste 100
North Olmsted, OH 44070-4053
Phone (440) 345-8265

Other practice location 1

4134 Linden Ave
Dayton, OH 45432-3043
Phone (937) 672-3459

Other names 1

  • Mary Neubrander Former name

Medicare participation

Medicare enrollment files
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4029 Township Rd
Suite 62
Hammondsville, OH 43930-7935

4134 Linden Ave
Suite 304
Dayton, OH 45432-3000

9001 Wooded Glen Rd
Louisville, KY 40220-2965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1700371OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oakheart Connections LLC CurrentSince Jun 17, 2026 Accepting new patients
Healing Harbor LLC CurrentSince Jul 27, 2020 Accepting new patients
Humanistic Counseling Center LLC PastSince Mar 15, 2026 Accepting new patients

Locations

4134 Linden Ave
Dayton, OH 45432
Phone (937) 365-7455

4134 Linden Ave
Ste 304
Dayton, OH 45432

28922 Lorain Rd
Ste 100
North Olmsted, OH 44070
Phone (440) 345-8265

Organizations & group practices 3

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1295116796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28922 LORAIN RD STE 100",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704053",
            "telephone_number": "440-345-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28922 LORAIN RD STE 100",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704053",
            "telephone_number": "440-345-8265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4134 Linden Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454323043",
            "country_code": "US",
            "telephone_number": "937-672-3459",
            "fax_number": "937-716-1809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "MARY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1700371",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1700371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "NEUBRANDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Olmsted, OH

Sources for this page

Verify at the official NPI Registry.