MARY ELIZABETH STAUFFER – Professional Counselor, NPI 1154930287

MARY ELIZABETH STAUFFER is a healthcare provider. based in Dublin, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. E.2505306 (OH). The NPI Number for MARY ELIZABETH STAUFFER is 1154930287

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELIZABETH STAUFFER
NPI
1154930287
Phone
(614) 792-9104
Address
5174 Blazer Pkwy
Enumeration Date
24 July 2020
Last Update Date
16 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6148895722
Graduation Year
2022 (4 years ago)
PAC ID
9830617596
Group Practice PAC ID
8224020466
Professional Enrollment ID
I20250516000155
Address ID
OH430172586DU299XXCTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for MARY ELIZABETH STAUFFER

  • 5174 Blazer Pkwy

    Dublin, OH 430171339

    Phone: (614) 792-9104

    Type: Location

  • 299 CRAMER CREEK CT

    DUBLIN, OH 430172586

    Phone: (614) 889-5722

    Fax: (614) 889-9335

    Type: Mailing

  • 537 DELTONA BLVD

    DELTONA, FL 327258017

    Phone: (904) 878-8683

    Fax: (386) 200-5752

    Type: Mailing

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: 2025-05-16

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
I20250516000155IMental Health CounselorOHTBD

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 43017)

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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: 8224020466View full group profile
NameSpecialtyState
Nurse PractitionerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH
-OH
Mental Health CounselorOH
Clinical Social WorkerOH
Nurse PractitionerOH
Mental Health CounselorOH
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARY ELIZABETH STAUFFER?
MARY ELIZABETH STAUFFER — NPI 1154930287 — is the standard way to identify this listing.
Is MARY ELIZABETH STAUFFER listed as active for patients and plans?
The listing shows MARY ELIZABETH STAUFFER as active in the NPI system.
What is MARY ELIZABETH STAUFFER's primary classification?
Professional Counselor is the headline specialty for MARY ELIZABETH STAUFFER here. Clinical services aligned with this taxonomy classification.
What address line appears for MARY ELIZABETH STAUFFER?
MARY ELIZABETH STAUFFER's geographic hint is Dublin, Ohio in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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