MARY OYSTER – Counselor, NPI 1336787431

MARY OYSTER is a healthcare provider. based in Canton, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. E.2203135-SUPV (OH). The NPI Number for MARY OYSTER is 1336787431

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MARY OYSTER
NPI
1336787431
Phone
Not provided
Address
624 MARKET AVE N
Enumeration Date
19 December 2019
Last Update Date
13 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304934553
Graduation Year
2020 (6 years ago)
PAC ID
2163964743
Group Practice PAC ID
2466485800
Professional Enrollment ID
I20240611002059
Address ID
OH447021017CA624XXNXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for MARY OYSTER

  • 624 MARKET AVE N

    CANTON, OH 447021017

    Phone:

    Mailing address matches the actual address.

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: 2024-06-11

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
I20240611002059IMental 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 44702)

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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: 2466485800View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)OH
Mental Health CounselorOH
-OH
P S Y C H I A T R YOH
-OH
Nurse PractitionerOH
Mental Health CounselorOH
-OH
-OH
P S Y C H I A T R YOH

Reviews

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Frequently asked questions

How do I look up MARY OYSTER by NPI?
Use NPI 1336787431 when you need to reference MARY OYSTER in forms, claims, or directories.
Does this profile mean MARY OYSTER is currently active?
Yes — MARY OYSTER appears active in the national provider directory.
What kind of provider is MARY OYSTER?
The page reflects Counselor for MARY OYSTER. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY OYSTER?
The page summarizes Canton, Ohio for MARY OYSTER; expand the address list for detail.
How can I contact MARY OYSTER?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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