Individual provider Active NPI

Mary Ann Echols, PHD

  • Counseling Psychologist
  • Youngstown, OH
National Provider Identifier
1548273535
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
5726 Issued in OH
Practice address
2031 Belmont Ave
Youngstown, OH 44505-2401
Phone
(330) 740-9200
Fax
(330) 740-9231
NPI assigned
Aug 14, 2006
Last updated
Oct 30, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 5726 OH Primary

Addresses

Primary practice location

2031 Belmont Ave
Youngstown, OH 44505-2401

Mailing address

346 Tod LN
Youngstown, OH 44504-1446
Phone (330) 747-5431

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
I20080306000326 OH Practitioner - Clinical Psychologist 2466537055 Practice locations: Girard, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2302 Tibbetts Wick Rd
Girard, OH 44420-1231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5726OHMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Ann Echols,PHD,LLC Current Accepting new patients
MHSP,Inc Past Accepting new patients
Northeast Ohio Psychological Consultants, LTD. Past Accepting new patients

Locations

2302 Tibbetts Wick Rd
Girard, OH 44420
Phone (330) 203-1880

Organizations & group practices 3

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1548273535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 TOD LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041446",
            "telephone_number": "330-747-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052401",
            "telephone_number": "330-740-9200",
            "fax_number": "330-740-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHOLS",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "5726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.