Active NPI
Mark Richard McCarthy, MA
- Professional Counselor
- Columbus, OH
National Provider Identifier
1962500272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E-0003902
- Practice address
- 1847 Red Fern Dr
Columbus, OH 43229-1425 - Phone
- (614) 554-0456
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E-0003902 | OH | Primary |
Addresses
Primary practice location
1847 Red Fern Dr
Columbus, OH 43229-1425
Mailing address
1847 Red Fern Dr
Columbus, OH 43229-1425
Phone (614) 554-0456
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202181291 | Other | OH | TAX INDENTIFICATION NO. |
| 791082000 | Other | OH | MAGELLAN MIS GROUP NUMBER |
| 279938000 | Other | OH | MAGELLAN MIS NUMBER |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-0003902 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braveheart Ministries, LTD. | Professional | Past | Accepting new patients |
| Edward J Wojniak, Jr, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Columbus, OH
- NPI 1871638171
-
- Psychologist
- Columbus, OH
- NPI 1427216464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1962500272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1847 RED FERN DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432291425",
"telephone_number": "614-554-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1847 RED FERN DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432291425",
"telephone_number": "614-554-0456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "MARK",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E-0003902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX INDENTIFICATION NO.",
"identifier": "202181291",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN MIS GROUP NUMBER",
"identifier": "791082000",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN MIS NUMBER",
"identifier": "279938000",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.