Active NPI
Mary Grace Carampatana Tirey, APRN PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Mason, OH
National Provider Identifier
1679451835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.0040125
- 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
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0040125 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Wellness LLC | Single Specialty | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- West Carrollton, OH
- NPI 1265124804
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.