Active NPI
Sandra L McMullin, LPCC-SUPV
- Mental Health Counselor
- Uniontown, OH
National Provider Identifier
1821238049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.0700447-SUPV
- Practice address
- 10216B Cleveland Ave NW
Uniontown, OH 44685-9411 - Phone
- (330) 305-9100
- Fax
- (330) 305-9103
- NPI assigned
- Feb 27, 2009
- Reactivated
- Apr 6, 2023
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.0700447-SUPV | OH | |
| Mental Health Counselor | 101YM0800X | E.0700447-SUPV | OH | Primary |
Addresses
Primary practice location
10216B Cleveland Ave NW
Uniontown, OH 44685-9411
Mailing address
10216B Cleveland Ave NW
Uniontown, OH 44685-9411
Phone (330) 305-9100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0244965 | Medicaid | OH | |
| 78797000 | Other | OH | OH/ID |
| 0233251 | Medicaid | OH |
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10216 B Cleveland Ave NW
Uniontown, OH 44685-9411
Phone (330) 305-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0700447-SUPV | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Care Counseling, Inc | Current | Accepting new patients | |
| We Care Counseling, Inc. | Professional | Current | Accepting new patients |
| N E Family Care Center | Past | Accepting new patients | |
| NE Family Care Counseling Center | Professional | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Uniontown, OH
- NPI 1164865713
Professional
-
- Community/Behavioral Health Agency
- North Canton, OH
- NPI 1760832893
-
- Community/Behavioral Health Agency
- North Canton, OH
- NPI 1992962294
-
- Professional Counselor
- Canton, OH
- NPI 1033585385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1821238049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10216B CLEVELAND AVE NW",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446859411",
"telephone_number": "330-305-9100",
"fax_number": "330-305-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10216B CLEVELAND AVE NW",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446859411",
"telephone_number": "330-305-9100",
"fax_number": "330-305-9103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLIN",
"first_name": "SANDRA",
"middle_name": "L",
"credential": "LPCC-SUPV",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-27",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"deactivation_date": "2023-03-31",
"reactivation_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0700447-SUPV",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.0700447-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0244965",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH/ID",
"identifier": "78797000",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0233251",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Uniontown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.