Individual provider Active NPI

Megan Elizabeth McConnell, LPCC

  • Mental Health Counselor
  • Boardman, OH
National Provider Identifier
1336512367
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E1700252 Issued in OH
Practice address
833 Boardman Canfield Rd Ste 105
Boardman, OH 44512-4236
Phone
(330) 953-1964
Fax
(877) 253-7181
NPI assigned
Nov 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 C.1100144 OH
Mental Health Counselor 101YM0800X E1700252 OH Primary

Addresses

Primary practice location

833 Boardman Canfield Rd Ste 105
Boardman, OH 44512-4236

Mailing address

833 Boardman Canfield Rd Ste 105
Boardman, OH 44512-4236
Phone (330) 953-1964

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
I20240126001599 OH Practitioner - Mental Health Counselor 3971956848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Southwoods Counseling LLCGroup PAC ID 1355476896, 6 clinicians

Practice addresses (Care Compare)

833 Boardman Canfield Rd
Suite 105
Boardman, OH 44512-4236
Phone (330) 953-1964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1100144OHMDMental Health Counselor
E1700252OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Psychiatry, Inc. CurrentSince May 11, 2024 Accepting new patients
Southwoods Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

833 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 270-9011

833 Boardman Canfield Rd
Ste 105
Youngstown, OH 44512
Phone (330) 758-9751

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336512367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 BOARDMAN CANFIELD RD STE 105",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124236",
            "telephone_number": "330-953-1964",
            "fax_number": "877-253-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 BOARDMAN CANFIELD RD STE 105",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124236",
            "telephone_number": "330-953-1964",
            "fax_number": "877-253-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1100144",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1700252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.