Active NPI
Anissa Natalia Mahmood, M.S., P.C.
- Professional Counselor
- Port Clinton, OH
National Provider Identifier
1760871198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.1400580
- Practice address
- 335 Buckeye Blvd
Port Clinton, OH 43452-1423 - Phone
- (419) 734-2942
- NPI assigned
- Jan 22, 2015
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.1400580 | OH | Primary |
Addresses
Primary practice location
335 Buckeye Blvd
Port Clinton, OH 43452-1423
Mailing address
1925 Hayes Ave
Sandusky, OH 44870-4737
Phone (419) 557-5177
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1400580 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1760871198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 HAYES AVE",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448704737",
"telephone_number": "419-557-5177",
"fax_number": "419-557-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 BUCKEYE BLVD",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434521423",
"telephone_number": "419-734-2942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOOD",
"first_name": "ANISSA",
"middle_name": "NATALIA",
"name_prefix": "Ms.",
"credential": "M.S., P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-22",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1400580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Clinton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.