Individual provider Active NPI

Laurie A Cunningham, MED, PCC

  • Professional Counselor
  • McConnelsville, OH
National Provider Identifier
1356592869
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0602138 Issued in OH
Practice address
915 S Riverside Dr
McConnelsville, OH 43756-0506
Phone
(740) 454-9766
Fax
(740) 588-6452
NPI assigned
Oct 2, 2008
Last updated
Feb 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C0602138 OH
Mental Health Counselor 101YM0800X C0602138 OH
Professional Counselor 101YP2500X E0602138 OH Primary

Addresses

Primary practice location

915 S Riverside Dr
McConnelsville, OH 43756-0506

Mailing address

2845 Bell St
Zanesville, OH 43701-1720
Phone (740) 454-9766

Other identifiers 1

IdentifierTypeStateIssuer
0180369MedicaidOH

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
I20240111002121 OH Practitioner - Mental Health Counselor 4880045095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1375 Commerce Dr
New Lexington, OH 43764-9511
Phone (740) 342-5154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0602138OHMDCounselor
E0602138OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Allwell Behavioral Health Services Mental Health Current Accepting new patients
Allwell Behavioral Health Services CurrentSince Jan 1, 2024 Accepting new patients
Allwell Behavioral Health Services CurrentSince Jan 1, 2024 Accepting new patients

Locations

915 S Riverside Dr NE
McConnelsvle, OH 43756
Phone (740) 962-5204

1375 Commerce Dr
New Lexington, OH 43764
Phone (740) 342-5154

2845 Bell St
Zanesville, OH 43701
Phone (614) 455-4147

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/allwell/r4/

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": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1356592869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 BELL ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011720",
            "telephone_number": "740-454-9766",
            "fax_number": "740-588-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S RIVERSIDE DR",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "437560506",
            "telephone_number": "740-454-9766",
            "fax_number": "740-588-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "LAURIE",
        "middle_name": "A",
        "credential": "MED, PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C0602138",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C0602138",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0602138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180369",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McConnelsville, OH

Sources for this page

Verify at the official NPI Registry.