Active NPI
Richard Mann
- Counselor
- Pedro, OH
National Provider Identifier
1962865725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C1100572
- Practice address
- 115 Private Dr. 977
Pedro, OH 45659-8608 - Phone
- (740) 313-0400
- Fax
- (740) 894-1132
- NPI assigned
- Mar 30, 2016
- Last updated
- Mar 30, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | C1100572 | OH | Primary |
Addresses
Primary practice location
115 Private Dr. 977
Pedro, OH 45659-8608
Mailing address
115 Private Dr. 977
Pedro, OH 45659-8608
Phone (740) 313-0400
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
| License | State | Type | Specialty |
|---|---|---|---|
| C1100572 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1962865725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 PRIVATE DR. 977",
"city": "PEDRO",
"state": "OH",
"postal_code": "456598608",
"telephone_number": "740-313-0400",
"fax_number": "740-894-1132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 PRIVATE DR. 977",
"city": "PEDRO",
"state": "OH",
"postal_code": "456598608",
"telephone_number": "740-313-0400",
"fax_number": "740-894-1132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-30",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C1100572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pedro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.