MARY BRUCE LCDCIII
NPI 1104339134
Counselor - Addiction (Substance Use Disorder) in Coal Grove, OH

Active since November 13, 2017
425 MARION PIKE, COAL GROVE, OH 45638(740) 377-1998 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Sep 1, 2023, Apr 10, 2018 and 1 more (4 updates tracked since 2017).

About Mary Bruce Lcdciii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BRUCE LCDCIII (NPI 1104339134) is an individual addiction (substance use disorder) provider in Coal Grove, Ohio, licensed in (LCDCIII.161773) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1104339134
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY BRUCECredential: LCDCIII
Location Address425 MARION PIKECoal Grove, OH 45638-2960
Mailing Address425 Marion PikeCoal Grove, OH 45638-2960 · (740) 377-1998
Sole ProprietorNo
Enumeration DateNovember 13, 2017
Last NPPES UpdateSeptember 6, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
NPI 1104339134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed · LCDCIII.161773 Licensed in OH · LCDCII.161421
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
425 MARION PIKE, Coal Grove, OH 45638

Accepted Insurance

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
425 MARION PIKE
COAL GROVE, OH 45638
Community/Behavioral Health
425 MARION PIKE
COAL GROVE, OH 45638
Peer Specialist
425 MARION PIKE
COAL GROVE, OH 45638
Counselor (Addiction (Substance Use Disorder))
425 MARION PIKE
COAL GROVE, OH 45638
Counselor (Addiction (Substance Use Disorder))
425 MARION PIKE
COAL GROVE, OH 45638
Counselor (Addiction (Substance Use Disorder))
425 MARION PIKE
COAL GROVE, OH 45638
Peer Specialist
425 MARION PIKE
COAL GROVE, OH 45638
Counselor (Addiction (Substance Use Disorder))
425 MARION PIKE
COAL GROVE, OH 45638

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Bruce's NPI number?

The NPI number for Mary Bruce is 1104339134. It was assigned to this individual provider in the NPPES registry on November 13, 2017.

Where is Mary Bruce located?

Mary Bruce practices at 425 Marion Pike, Coal Grove, OH 45638. The listed phone number is (740) 377-1998.

What is Mary Bruce's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Mary Bruce accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Mary Bruce as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Bruce was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.