Individual provider Active NPI

Mary Grace Carampatana Tirey, APRN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mason, OH
National Provider Identifier
1679451835
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0040125 Issued in OH
Practice address
5386 Cox Smith Rd
Mason, OH 45040-6803
Phone
(216) 468-5000
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APRN.CNP.0040125 OH Primary

Addresses

Primary practice location

5386 Cox Smith Rd
Mason, OH 45040-6803

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice location 1

306 Ridgeview Ln
Monroe, OH 45050-1461
Phone (513) 849-7250

Other practice location 2

3781 W Alex Bell Rd
West Carrollton, OH 45449-1920
Phone (937) 476-1940

Other names 1

  • Mary Grace Tirey Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0040125OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Wellness LLC Single Specialty CurrentSince Nov 9, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1679451835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5386 COX SMITH RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406803",
            "telephone_number": "216-468-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Ridgeview Ln",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "OH",
            "postal_code": "450501461",
            "country_code": "US",
            "telephone_number": "513-849-7250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3781 W Alex Bell Rd",
            "address_purpose": "LOCATION",
            "city": "West Carrollton",
            "state": "OH",
            "postal_code": "454491920",
            "country_code": "US",
            "telephone_number": "937-476-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIREY",
        "first_name": "MARY GRACE",
        "middle_name": "CARAMPATANA",
        "credential": "APRN PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0040125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY GRACE",
            "last_name": "TIREY",
            "credential": "PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.