Active NPI
Abby Jo Mabry
- Addiction (Substance Use Disorder) Counselor
- Lima, OH
National Provider Identifier
1639660756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 924 N Cable Rd
Lima, OH 45805-1704 - Phone
- (419) 969-3125
- NPI assigned
- May 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
924 N Cable Rd
Lima, OH 45805-1704
Mailing address
5982 Rhodes Rd
Kent, OH 44240-8100
Phone (330) 672-1347
Other practice location 1
16 E Auglaize St
Wapakoneta, OH 45895-1577
Phone (567) 356-4400
Other practice location 2
720 Armstrong St
Saint Marys, OH 45885-1800
Phone (567) 356-4414
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1639660756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5982 RHODES RD",
"city": "KENT",
"state": "OH",
"postal_code": "442408100",
"telephone_number": "330-672-1347",
"fax_number": "330-678-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 N CABLE RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458051704",
"telephone_number": "419-969-3125"
}
],
"practiceLocations": [
{
"address_1": "16 E Auglaize St",
"address_purpose": "LOCATION",
"city": "Wapakoneta",
"state": "OH",
"postal_code": "458951577",
"country_code": "US",
"telephone_number": "567-356-4400",
"fax_number": "419-738-6222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "720 Armstrong St",
"address_purpose": "LOCATION",
"city": "Saint Marys",
"state": "OH",
"postal_code": "458851800",
"country_code": "US",
"telephone_number": "567-356-4414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MABRY",
"first_name": "ABBY",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-24",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.