Active NPI
Mary Elise Ware, PC
- Professional Counselor
- Columbus, OH
National Provider Identifier
1407101801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.1100290
- Practice address
- 761 S Front St
Columbus, OH 43206-1905 - Phone
- (614) 563-2810
- NPI assigned
- Jul 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 33.013669 | OH | |
| Professional Counselor | 101YP2500X | C.1100290 | OH | Primary |
Addresses
Primary practice location
761 S Front St
Columbus, OH 43206-1905
Mailing address
761 S Front St
Columbus, OH 43206-1905
Phone (614) 563-2810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 12, 2024 through Sep 12, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1100290 | OH | MD | Professional Counselor |
| 33.013669 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1407101801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 S FRONT ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432061905",
"telephone_number": "614-563-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 S FRONT ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432061905",
"telephone_number": "614-563-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARE",
"first_name": "MARY",
"middle_name": "ELISE",
"credential": "PC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-21",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.013669",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1100290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.