Individual provider Active NPI

Mykala Houseburg, LISW

  • Clinical Social Worker
  • Garfield Heights, OH
National Provider Identifier
1760159974
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2506794 Issued in OH
Practice address
12395 McCracken Rd Ste a-Up
Garfield Heights, OH 44125-2967
Phone
(216) 587-6727
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2506794 OH Primary

Addresses

Primary practice location

12395 McCracken Rd Ste a-Up
Garfield Heights, OH 44125-2967

Mailing address

1650 Cedarwood Dr Apt 338
Westlake, OH 44145-1827

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251211001011 OH Practitioner - Clinical Social Worker 2567956196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16 W Long St
6TH Floor
Columbus, OH 43215-2815

3460 S Dixie Dr
Dayton, OH 45439-2301

PO Box
Suite 1809
Columbus, OH 43216-1809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2506794OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MH Assessments and Counseling LLC Clinical CurrentSince Oct 5, 2025 Accepting new patients
Maryhaven Inc. CurrentSince Nov 21, 2025 Accepting new patients
Rakesh Ranjan MD & Associates, Inc. CurrentSince Aug 3, 2025 Accepting new patients
Rakesh Ranjan M.D. & Assoc., Inc. PastSince Aug 3, 2025 Accepting new patients

Locations

1791 Alum Creek Dr
Columbus, OH 43207

12395 McCracken Rd
Ste Aup
Garfield Heights, OH 44125
Phone (216) 504-3646

Organizations & group practices 5

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1760159974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 CEDARWOOD DR APT 338",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 MCCRACKEN RD STE A-UP",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252967",
            "telephone_number": "216-587-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEBURG",
        "first_name": "MYKALA",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2506794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.