Individual provider Active NPI

Michele A Vrable, LPCC

  • Professional Counselor
  • Youngstown, OH
National Provider Identifier
1508934183
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E3784 Issued in OH
Practice address
535 Marmion Ave
Youngstown, OH 44502-2323
Phone
(330) 782-5664
Fax
(330) 782-1614
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E3784 OH Primary

Addresses

Primary practice location

535 Marmion Ave
Youngstown, OH 44502-2323

Mailing address

535 Marmion Ave
Youngstown, OH 44502-2323
Phone (330) 782-5664

Other identifiers 2

IdentifierTypeStateIssuer
0803312MedicaidOH
000000124930OtherOHANTHEM

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
I20240201003796 OH Practitioner - Mental Health Counselor 3072966381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbiana County Mental Health ClinicGroup PAC ID 4385622265, 20 clinicians

Practice addresses (Care Compare)

40722 State Route 154
Lisbon, OH 44432-8500
Phone (330) 424-9573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3784OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbiana County Mental Health Clinic CurrentSince Jan 1, 2024 Accepting new patients

Locations

40722 State Route 154
Lisbon, OH 44432

166 Vine St
Salem, OH 44460
Phone (330) 332-1514

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1508934183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MARMION AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022323",
            "telephone_number": "330-782-5664",
            "fax_number": "330-782-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MARMION AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022323",
            "telephone_number": "330-782-5664",
            "fax_number": "330-782-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRABLE",
        "first_name": "MICHELE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E3784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803312",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000124930",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.