NPIMap

Individual provider Active NPI

Mark McGurk, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Holland, OH
National Provider Identifier
1992466437
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
6202 Trust Dr
Holland, OH 43528-8425
Phone
(419) 824-8462
NPI assigned
Jan 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

6202 Trust Dr
Holland, OH 43528-8425

Mailing address

6202 Trust Dr
Holland, OH 43528-8425
Phone (419) 824-8462

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address markmcgurk@racingforrecovery.org Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Racing for Recovery Addiction (Substance Use Disorder) CurrentSince Jan 17, 2022 Accepting new patients
Racing for Recovery Addiction (Substance Use Disorder) CurrentSince Jan 17, 2022 Accepting new patients

Locations

6202 Trust Dr
Holland, OH 43528
Phone (419) 491-7300

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.

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1992466437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 TRUST DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288425",
            "telephone_number": "419-824-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 TRUST DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288425",
            "telephone_number": "419-824-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGURK",
        "first_name": "MARK",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "markmcgurk@racingforrecovery.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6202 Trust Dr",
            "city": "Holland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435288425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.