Active NPI
Marcus J McNeil, MSW, LSW
- Mental Health Counselor
- Blue Ash, OH
National Provider Identifier
1447987425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S.2005129
- Practice address
- 10999 Reed Hartman Hwy
Ste 207
Blue Ash, OH 45242-8331 - Phone
- (513) 999-5506
- Fax
- (513) 909-2610
- NPI assigned
- Aug 1, 2022
- Last updated
- Aug 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S.2005129 | OH | Primary |
| Social Worker | 104100000X | S.2005129 | OH | |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
10999 Reed Hartman Hwy
Ste 207
Blue Ash, OH 45242-8331
Mailing address
10895 Fallsington CT
Blue Ash, OH 45242-8301
Phone (513) 888-0722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0039282 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2005129 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandria Fields LLC | Current | Accepting new patients |
Locations
10999 Reed Hartman Hwy
Ste 207
Blue Ash, OH 45242
Phone (513) 748-8012
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, 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": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1447987425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10895 FALLSINGTON CT",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452428301",
"telephone_number": "513-888-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10999 REED HARTMAN HWY",
"address_2": "STE 207",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452428331",
"telephone_number": "513-999-5506",
"fax_number": "513-909-2610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEIL",
"first_name": "MARCUS",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-01",
"last_updated": "2024-08-09",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "S.2005129",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2005129",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0039282",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.