Individual provider Active NPI

Sandra L McMullin, LPCC-SUPV

  • Mental Health Counselor
  • Uniontown, OH
National Provider Identifier
1821238049
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0700447-SUPV Issued in OH
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

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0244965MedicaidOH
78797000OtherOHOH/ID
0233251MedicaidOH

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
I20240429003309 OH Practitioner - Mental Health Counselor 4688014327 Reassigns benefits to 1 organization

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
We Care Counseling, Inc.Group PAC ID 3779923412, 2 clinicians

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

LicenseStateTypeSpecialty
E.0700447-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
We Care Counseling, Inc Current Accepting new patients
We Care Counseling, Inc. Professional CurrentSince May 18, 2013 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.

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

Verify at the official NPI Registry.