Individual provider Active NPI

Marcia Kostoff, LPCC

  • Mental Health Counselor
  • Urbana, OH
National Provider Identifier
1902295405
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1700160 Issued in OH
Practice address
1522 E US Highway 36
Suite a
Urbana, OH 43078-9738
Phone
(937) 653-5583
NPI assigned
Jan 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C 1200402 OH
Mental Health Counselor 101YM0800X E.1700160 OH Primary

Addresses

Primary practice location

1522 E US Highway 36
Suite a
Urbana, OH 43078-9738

Mailing address

125 S Hayes St
Bellefontaine, OH 43311-2407
Phone (567) 224-1878

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C 1200402OHMDMental Health Counselor
E.1700160OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TCN Behavioral Health Services, Inc. Mental Health PastSince Nov 26, 2020 Accepting new patients

Organizations & group practices 1

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": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1902295405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S HAYES ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112407",
            "telephone_number": "567-224-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 E US HIGHWAY 36",
            "address_2": "SUITE A",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789738",
            "telephone_number": "937-653-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTOFF",
        "first_name": "MARCIA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C 1200402",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1700160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.