Mary Ann Walburn, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2001619 Issued in OH

Practice address

3081 Columbus Pike
Delaware, OH 43015-3211

Phone

(740) 876-1850

NPI assigned

Jul 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mindful Mental Health Services - FL Gulf SW LLC

  • Clinical Social Worker
  • Longboat Key, FL
  • NPI 1568121267
  Medicare reassignment NPD
• Serenity Counseling and Consultation Services LLC

  • Counselor
  • Delaware, OH
  • NPI 1730709445
  NPD

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1659895845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 COLUMBUS PIKE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430153211",
            "telephone_number": "740-876-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 COLUMBUS PIKE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430153211",
            "telephone_number": "740-876-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALBURN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2001619",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2001619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Waddell
• Jennifer Waddell, RN
• Danielle Rebecca Wadkins, CNP
• Brett Raymond Wagner, PT
• Wal-Mart Stores East LP
• Walgreen Co
• Zakiya Walker, NP-C
• Cynthia Jane Wallace, CNP
• Heidi L Wallace, LSW, CDCA
• Rachael Wallace, M.S., P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.