Michael Ryan Megonnell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003789A Issued in IN

Practice address

1169 N Main St
Bluffton, IN 46714-1360

Phone

(725) 400-4854

NPI assigned

Jul 18, 2022

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crosswinds Inc

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1497170427
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IN

  Medicare reassignment NPD

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1912632712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W PARK DR",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467502622",
            "telephone_number": "260-452-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 N MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467141360",
            "telephone_number": "725-400-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGONNELL",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003789A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markle Medical Center, Inc
• Pekkakuzhiyil M Mathew, M.D.
• Matthew D. Mitchell O.D., LLC (Bluffton Family Eye Care)
• Leann J Mayer, DNP, AGNP-C, RN, CNE
• Norman D Means, M.D.
• Emmett Meiss, DC
• Mercy Seat Dentistry
• Meridian Health Services Corp
• Meridian Health Services Corp (Meridian Health Services)
• Meridian Health Services Corp.

• Mental Health Counselor in Bluffton, IN
• Providers in Bluffton, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.

Verify at the official NPI Registry.