MID-OHIO COUNSELING, LLC – Mental Health Counselor, NPI 1700022639
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MID-OHIO COUNSELING, LLC
905 RIVER RD STE B
GRANVILLE, OH 430239560
Phone: (740) 507-6707
Fax: (740) 920-4244
Type: Mailing
PO BOX 68
GRANVILLE, OH 430230068
Phone: (740) 507-6707
Fax: (740) 739-4272
Type: Mailing
341 Mount Vernon Ave
Marion, OH 433024100
Phone: (740) 341-1899
Fax: (740) 920-4244
Type: Location
River Road, Colonial Hills, Granville, Granville Township, Mifflin County, Pennsylvania, 17029, United States
GRANVILLE, OH 43023
Phone: (740) 507-6707
Fax: (740) 739-4272
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: 2009-03-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20090303000080 | O | Clinic/Group Practice | OH | TBD |
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.
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 43023)
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