Individual provider Active NPI

Marcus J McNeil, MSW, LSW

  • Mental Health Counselor
  • Blue Ash, OH
National Provider Identifier
1447987425
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S.2005129 Issued in OH
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0039282MedicaidOH

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

LicenseStateTypeSpecialty
S.2005129OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Fields LLC CurrentSince Aug 11, 2024 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.

Verify at the official NPI Registry.