Active NPI
Mary Crystal Wring, LPCC
- Mental Health Counselor
- Crestview Hills, KY
National Provider Identifier
1760975098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 262904
- Practice address
- 351 Centre View Blvd
Crestview Hills, KY 41017-3477 - Phone
- (859) 757-0717
- Fax
- (859) 331-2425
- NPI assigned
- Jun 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39003278A | IN | |
| Mental Health Counselor | 101YM0800X | 262904 | KY | Primary |
Addresses
Primary practice location
351 Centre View Blvd
Crestview Hills, KY 41017-3477
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 757-0717
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39003278A | IN | MD | Mental Health Counselor |
| 262904 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Social Services of Northwestern Ohio | Mental Health | Current | Accepting new patients |
| Lutheran Social Services of Northwestern Ohio | Mental Health | Current | Accepting new patients |
| Lutheran Social Services of Northwestern Ohio | Past | Accepting new patients |
Locations
512 E State St
Fremont, OH 43420
Phone (419) 334-3431
676 Miami St
Ste A
Tiffin, OH 44883
Phone (419) 448-5533
2149 Collingwood Blvd
Toledo, OH 43620
Phone (419) 243-9178
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Lima, OH
- NPI 1750467916
Mental Health
-
- Clinical Social Worker
- Toledo, OH
- NPI 1881773687
Mental Health
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1376807313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1760975098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-757-0717",
"fax_number": "859-331-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 CENTRE VIEW BLVD",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410173477",
"telephone_number": "859-757-0717",
"fax_number": "859-331-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRING",
"first_name": "MARY",
"middle_name": "CRYSTAL",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39003278A",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "262904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview Hills, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.