Individual provider Active NPI

Timothy William McCarty, MA,MBA,MS

  • Mental Health Counselor
  • Muncie, IN
National Provider Identifier
1881669414
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39001111A Issued in IN
Practice address
240 N. Tillotson Avenue
Meridian Services Corp.
Muncie, IN 47304-3988
Phone
(765) 288-1928
Fax
(765) 741-0335
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87000909A IN
Mental Health Counselor 101YM0800X 39001111A IN Primary

Addresses

Primary practice location

240 N. Tillotson Avenue
Meridian Services Corp.
Muncie, IN 47304-3988

Mailing address

240 N. Tillotson Avenue
Meridian Services Corp.
Muncie, IN 47304-3988
Phone (765) 288-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240606001466 IN Practitioner - Mental Health Counselor 0648712596 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
87000909AINMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Services Corp CurrentSince Apr 30, 2024 Accepting new patients
Meridian Health Services Corp. CurrentSince Apr 30, 2024 Accepting new patients
Tyrow Consulting LLC Past Accepting new patients

Locations

240 N Tillotson Ave
Muncie, IN 47304

1944 W 8th St
Muncie, IN 47302
Phone (765) 741-0318

Interoperability endpoints

  • Direct secure messaging: timothy.mccarty.p1@direct.meridianhs.nextgenshare.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1881669414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N. TILLOTSON AVENUE",
            "address_2": "MERIDIAN SERVICES CORP.",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-288-1928",
            "fax_number": "765-741-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N. TILLOTSON AVENUE",
            "address_2": "MERIDIAN SERVICES CORP.",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-288-1928",
            "fax_number": "765-741-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "TIMOTHY",
        "middle_name": "WILLIAM",
        "credential": "MA,MBA,MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000909A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001111A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.