MARK PRUDEN L.P.C.C. NPI 1003007790
Counselor (Professional) in Cincinnati, OH
About MARK PRUDEN
Mark Pruden is a provider established in Cincinnati, Ohio and his medical specialization is counselor (professional) . The NPI number of Mark Pruden is 1003007790 and was assigned on August 2007. The practitioner's primary taxonomy code is 101YP2500X with license number E1734 (OH). The provider is registered as an individual and his NPI record was last updated one year ago.
Mark Pruden is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
| NPI | 1003007790 |
| Provider Name | MARK PRUDEN L.P.C.C. |
| Provider Location Address | 42 CALHOUN ST CINCINNATI, OH 45219 |
| Provider Mailing Address | PO BOX 19971 CINCINNATI, OH 45219 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | Yes |
| Is Organization Subpart? | N/A |
| Enumeration Date | 08-07-2007 |
| Last Update Date | 04-23-2021 |
Primary Taxonomy
| Taxonomy Code | 101YP2500X |
| Classification | Counselor |
| Type | Behavioral Health & Social Service Providers |
| Specialization | Professional |
| License No. | E1734 |
| License State | OH |
Business Address
MARK PRUDEN L.P.C.C.
42 CALHOUN ST
CINCINNATI, OH
ZIP 45219
Phone: (513) 861-6543
Fax: (513) 381-0016
Mailing Address
MARK PRUDEN L.P.C.C.
PO BOX 19971
CINCINNATI, OH
ZIP 45219
Phone: (513) 861-6543
Fax: (513) 381-0016
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.