Mohamed Badra, PH.D., LPCC-S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C 1000549 Issued in OH

Practice address

3454 Oak Alley CT Ste 504
Toledo, OH 43606-1356

Phone

(419) 318-8533

Fax

(888) 337-1307

NPI assigned

Feb 4, 2015

Sex

Male

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Toledo Counseling & Mental Health LLC

  • Mental Health Counselor
  • Toledo, OH
  • NPI 1174007934
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1619367257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 504",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 504",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061356",
            "telephone_number": "419-318-8533",
            "fax_number": "888-337-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADRA",
        "first_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPCC-S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-04",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C 1000549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa S Badenhop, PT
• Cathi Ann Badik, M.D.
• Beshr Badla, M.D.
• Ibironke Badmus, BSW, LSW
• Cassandra Badr
• Himani Badyal, MD
• Jae Yun Baek, PHARMD
• Jami Baer, LISW-S
• Michael Baer, DO
• Imad Bagh, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.