SANDRA L MCMULLIN (LPCC-SUPV) – Mental Health Counselor, NPI 1821238049

SANDRA L MCMULLIN (LPCC-SUPV) is a healthcare provider. based in Hartville, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC-SUPV. They hold a License No. E.0700447-SUPV (OH). The NPI Number for SANDRA L MCMULLIN (LPCC-SUPV) is 1821238049

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA L MCMULLIN (LPCC-SUPV)
NPI
1821238049
Phone
(330) 877-3261
Address
329 BELLE ST SW
Enumeration Date
27 February 2009
Deactivation Date
31 March 2023
Reactivation Date
6 April 2023
Last Update Date
6 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3303059100
Graduation Year
2008 (18 years ago)
PAC ID
4688014327
Group Practice PAC ID
3779923412
Professional Enrollment ID
I20240429003309
Address ID
OH446859411UN10216NWXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

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Provider Addresses for SANDRA L MCMULLIN (LPCC-SUPV)

  • 329 BELLE ST SW

    HARTVILLE, OH 446329301

    Phone: (330) 877-3261

    Type: Mailing

  • 103, West Maple Street, North Canton, Stark County, Ohio, 44720, United States

    NORTH CANTON, OH 447202858

    Phone: (330) 966-8677

    Fax: (330) 966-6511

    Type: Location

  • 10216B CLEVELAND AVE NW

    UNIONTOWN, OH 446859411

    Phone: (330) 305-9100

    Fax: (330) 305-9103

    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: 2024-04-29

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
I20240429003309IMental 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 44632)

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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: 3779923412View full group profile
NameSpecialtyState
Mental Health CounselorOH

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Frequently asked questions

How do payers reference SANDRA L MCMULLIN (LPCC-SUPV)?
For SANDRA L MCMULLIN (LPCC-SUPV), use NPI 1821238049 as the unique 10-digit identifier.
Is SANDRA L MCMULLIN (LPCC-SUPV) shown as active in public data?
Registry records indicate SANDRA L MCMULLIN (LPCC-SUPV) maintains an active NPI.
What area of care is associated with SANDRA L MCMULLIN (LPCC-SUPV)?
SANDRA L MCMULLIN (LPCC-SUPV)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is SANDRA L MCMULLIN (LPCC-SUPV) associated with Hartville?
Public fields place SANDRA L MCMULLIN (LPCC-SUPV) around Hartville, Ohio. Always confirm the exact site before visiting.
Does SANDRA L MCMULLIN (LPCC-SUPV) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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