| Katie A Marchinchin, MA, PCC | |
|
9930 Johnnycake Ridge Rd Ste 4f, Mentor, OH 44060-6762 | |
| (440) 579-5100 | |
| (440) 579-5104 |
| Full Name | Katie A Marchinchin |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 9930 Johnnycake Ridge Rd Ste 4f, Mentor, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083908586 | NPI | - | NPPES |
| 0208743 | Medicaid | OH | |
| 0483044 | Medicaid | OH | |
| 2069738 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E1000347 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Neo Counseling Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528421252 PECOS PAC ID: 8224401898 Enrollment ID: O20230301001365 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie A Marchinchin, MA, PCC 9930 Johnnycake Ridge Rd Ste 4f, Mentor, OH 44060-6762 Ph: (440) 579-5100 | Katie A Marchinchin, MA, PCC 9930 Johnnycake Ridge Rd Ste 4f, Mentor, OH 44060-6762 Ph: (440) 579-5100 |
Ashley Nichole Focht, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Mrs. Fatimaah D Fullilove, LSW, LICDC Counselor Medicare: Medicare Enrolled Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Theresa Gill, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Ms. Loretta M. George, M.ED., P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7244 Hopkins Rd, Mentor, OH 44060 Phone: 440-773-0563 | |
Merav K. Auzenne, MA PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8445 Munson Rd, Mentor, OH 44060 Phone: 440-255-1700 Fax: 440-205-2417 | |
Kimberlee Bizup, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 | |
Ivy Novosel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200 |