MARY OTT – Mental Health Counselor, NPI 1609530211

MARY OTT is a healthcare provider. based in Warsaw, Indiana. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 34011087A (IN). The NPI Number for MARY OTT is 1609530211

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MARY OTT
NPI
1609530211
Phone
(574) 267-7169
Address
2621 E JEFFERSON ST
Enumeration Date
29 October 2021
Last Update Date
28 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604320066301
Graduation Year
2021 (5 years ago)
PAC ID
0547602575
Group Practice PAC ID
6204986573
Professional Enrollment ID
I20240522003059
Address ID
IN468041583FO6202XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,711 CLINICAL SOCIAL WORKER in IN

Provider Addresses for MARY OTT

  • 2621 E JEFFERSON ST

    WARSAW, IN 465803880

    Phone: (574) 267-7169

    Type: Mailing

  • 2860 NORTHPARK AVE

    HUNTINGTON, IN 467509700

    Phone: (260) 356-2875

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240522003059IClinical Social WorkerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46580)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204986573View full group profile
NameSpecialtyState
Mental Health CounselorIN
Marriage And Family TherapistIN
Marriage And Family TherapistIN
Clinical Social WorkerIN
Mental Health CounselorIN

Reviews

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Frequently asked questions

What federal number belongs to MARY OTT?
The federal identifier for MARY OTT is NPI 1609530211.
Is MARY OTT active in the national directory?
MARY OTT's public NPI profile is in an active state.
Can you summarize MARY OTT's specialty in plain language?
Clinically, the directory lists MARY OTT with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place MARY OTT?
The snapshot lists Warsaw, Indiana for MARY OTT; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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