| Mason Family Counseling | |
|
5134 Cedar Village Dr Mason OH 45040-3717 | |
| (513) 229-7900 | |
| (513) 229-0202 |
| Full Name | Mason Family Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 5134 Cedar Village Dr, Mason, Ohio |
| Authorized Official Name and Position | Laura Vail Sage (PRESIDENT) |
| Authorized Official Contact | 5132297900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mason Family Counseling 5134 Cedar Village Dr Mason OH 45040-3717 Ph: (513) 229-7900 | Mason Family Counseling 5134 Cedar Village Dr Mason OH 45040-3717 Ph: (513) 229-7900 |
| NPI Number | 1699758250 |
|---|---|
| Provider Enumeration Date | 11/28/2005 |
| Last Update Date | 10/17/2011 |
| Medicare PECOS PAC ID | 7517985310 |
|---|---|
| Medicare Enrollment ID | O20120220000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699758250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 944032 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I 0005442 (Ohio) | Primary |
| Provider Name | Laura Vail Sage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598748154 PECOS PAC ID: 9032018403 Enrollment ID: I20120220000361 |
| Provider Name | Joshua J Oglehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811338999 PECOS PAC ID: 0648408229 Enrollment ID: I20200924001550 |
| Provider Name | Danielle K Ginter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073927695 PECOS PAC ID: 7113329905 Enrollment ID: I20210715004365 |
| Provider Name | Sara R Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548798374 PECOS PAC ID: 7214319888 Enrollment ID: I20220728001693 |
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