Active NPI
Mary Vicario, LPCC-S
- Professional Counselor
- Cincinnati, OH
National Provider Identifier
1568962686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LE-00008507
- Practice address
- 3030 W Fork Rd
Cincinnati, OH 45211-1944 - Phone
- (513) 389-7500
- NPI assigned
- Feb 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LE-00008507 | OH | Primary |
Addresses
Primary practice location
3030 W Fork Rd
Cincinnati, OH 45211-1944
Mailing address
3030 W Fork Rd
Cincinnati, OH 45211-1944
Phone (513) 389-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-0688 | 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 |
|---|---|---|---|
| LE-00008507 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1568962686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 W FORK RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452111944",
"telephone_number": "513-389-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 W FORK RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452111944",
"telephone_number": "513-389-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICARIO",
"first_name": "MARY",
"credential": "LPCC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-15",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "LE-00008507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01-0688",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.