Individual provider Active NPI

Preston Dillon Mannon, MA, LPCC, NCC

  • Professional Counselor
  • Pomeroy, OH
National Provider Identifier
1396337358
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2303822 Issued in OH
Practice address
112 E Memorial Dr
Pomeroy, OH 45769-9569
Phone
(740) 992-2192
Fax
(740) 992-4018
NPI assigned
Feb 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X E.2303822 OH Primary

Addresses

Primary practice location

112 E Memorial Dr
Pomeroy, OH 45769-9569

Mailing address

PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366

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
I20240109002172 OH Practitioner - Mental Health Counselor 8325499882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopewell Health Centers, Inc.Group PAC ID 9234049990, 55 clinicians

Practice addresses (Care Compare)

112 E Memorial Dr
Pomeroy, OH 45769-9569
Phone (740) 992-2192

41865 Pomeroy Pike
Pomeroy, OH 45769-9473
Phone (740) 992-0540

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hopewell Health Centers Inc Current Accepting new patients
Hopewell Health Centers Inc Current Accepting new patients
Hopewell Health Centers, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Hopewell Health Centers Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

90 Hospital Dr
Athens, OH 45701
Phone (740) 592-3091

41865 Pomeroy Pike
Pomeroy, OH 45769
Phone (740) 992-0540

112 E Memorial Dr
Pomeroy, OH 45769
Phone (740) 992-2192

Organizations & group practices 4

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": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1396337358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456010188",
            "telephone_number": "740-773-4366",
            "fax_number": "740-773-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E MEMORIAL DR",
            "city": "POMEROY",
            "state": "OH",
            "postal_code": "457699569",
            "telephone_number": "740-992-2192",
            "fax_number": "740-992-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNON",
        "first_name": "PRESTON",
        "middle_name": "DILLON",
        "credential": "MA, LPCC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2303822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomeroy, OH

Sources for this page

Verify at the official NPI Registry.