Mary Le Gouellec

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0602208 Issued in OH

Practice address

8035 Hosbrook Rd
Cincinnati, OH 45236-2951

Phone

(513) 791-5990

NPI assigned

Jun 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abundant Life Partners LLCGroup PAC ID 6507142296, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Abundant Life Partners, LLC

  • Clinical Social Worker
  • Williamsburg, VA
  • NPI 1942740279
  Medicare reassignment Care Compare group NPD
• Abundant Path LLC

  • Psychologist
  • Williamsburg, VA
  • NPI 1962374439

  Professional

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1497103287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 PINE LN",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408829",
            "telephone_number": "513-728-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 HOSBROOK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362951",
            "telephone_number": "513-791-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE GOUELLEC",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "0602208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisbeth M Lazaron, MD
• Lca-Vision Inc
• Lca-Vision Inc
• LCT Group
• LD Transportation Service LLC
• Le Monocle Inc
• Annie Le-Nguyen, M.D., M.SC.
• Chuc Phuc Le, M.D.
• Theodore T Le, M.D.
• Thu Uyen Le, PHARMD

• Professional Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.