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Deactivated NPI 1568590107 Deactivated / Inactive NPI Female Practitioner

Mary Spain , PCC

Counselor - Professional • Dublin, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Spain has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 02, 2007
NPI Deactivation Date October 24, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Mary Spain, PCC was a registered Counselor - Professional practicing in Dublin, OH. Throughout an active medical career spanning 15 years, Mary Spain provided care at the practice location at 6475 VENTURE DRIVE until profile deactivation on 2022-10-24.

Practice Location & Contact Primary Location

Practice Address

6475 Venture Drive
Children's Hosptial Guidance Center

Dublin, OH 43018

Telephone 6143558000
Fax 6143558018

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Dublin, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.1 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
107 Specialists

Practicing in Dublin, OH (6923 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E3385

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Cynthia Fontanella , LISW

Social Worker - Clinical

NPI 1013123462

Licensed Independent Social Worker

Elisha Jones , MSW, ISW

Social Worker - Clinical

NPI 1023139094

Master of Social Work, ISW

Kara Penniman , LISW-S

Social Worker - Clinical

NPI 1023195054

LISWS

Kimberly Mains , LISW

Social Worker - Clinical

NPI 1033233721

Licensed Independent Social Worker

Heather Feehan , LISW

Social Worker - Clinical

NPI 1063540375

Licensed Independent Social Worker

NPI 1114056637

Licensed Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 24, 2022

Record deactivated on October 24, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 6475 VENTURE DRIVE, CHILDREN'S HOSPTIAL GUIDANCE CENTER, DUBLIN, OH 43018 (Tel: 6143558000)

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Updated Business Mailing Address July 08, 2007

Registered at 6475 VENTURE DRIVE, CHILDREN'S HOSPTIAL GUIDANCE CENTER, DUBLIN, OH 43018 (Tel: 6143558000)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARY SPAIN, PCC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #E3385 in OH)

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Initial NPI Registration & Enumeration March 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568590107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2007
Last Update: July 08, 2007
Deactivation Date: October 24, 2022

Mailing Address

6475 Venture Drive, Children's Hosptial Guidance Center

Dublin, OH 43018

Phone: 6143558000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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