Linda Carson, LPCC E

Individual provider Active NPI Marriage & Family Therapist · Mansfield, OH

NPI 1386869865 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1386869865
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
151 Marion Ave
Mansfield, OH 44903-2223
Phone
(419) 774-9969
Fax
(419) 756-5642
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Counseling of Ashland LLC (3 clinicians)

Practice addresses (Care Compare)

502 Claremont Ave
Ashland, OH 44805-3010
Phone (419) 289-1876

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20221121002190 OH Practitioner - Clinical Social Worker 3971971052 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X OH Yes

Addresses

Primary practice location

151 Marion Ave
Mansfield, OH 44903-2223

Mailing address

151 Marion Ave
Mansfield, OH 44903-2223

Other providers in Mansfield, OH

All providers in Mansfield, OH · Marriage & Family Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.