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PHOENIX MUSSALOW MA, LPC, NCC
NPI 1245765874
Counselor - Mental Health in Stow, OH

Active since April 20, 2017Opted out of Medicare · through Feb 5, 2028
2562 GRAHAM RD, STOW, OH 44224(276) 200-8769 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2020, Apr 20, 2017 (2 updates tracked since 2017).

About Phoenix Mussalow Ma, Lpc, Ncc NPPES

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

PHOENIX MUSSALOW MA, LPC, NCC (NPI 1245765874) is an individual mental health provider in Stow, Ohio, licensed in Ohio (C.1600825) and active in the NPI registry since April 2017. She has opted out of Medicare through February 5, 2028.

NPPES Registry Identity

NPI1245765874
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePHOENIX MUSSALOWCredential: MA, LPC, NCC
Location Address2562 GRAHAM RDStow, OH 44224-3504
Mailing Address6693 N Chestnut St Ste 235Ravenna, OH 44266-3900 · (330) 296-3700
Phone(276) 200-8769
Sole ProprietorYes
Enumeration DateApril 20, 2017
Last NPPES UpdateAugust 6, 20202 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
✔ NPI 1245765874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · C.1600825
2562 GRAHAM RD, Stow, OH 44224
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Oscar Insurance Corporation of Ohio, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Phoenix Mussalow Ma, Lpc, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 5, 2024 through February 5, 2028.

Opt-Out Effective DateFebruary 5, 2024
Opt-Out In Effect ThroughFebruary 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Phoenix Mussalow's NPI number?

The NPI number for Phoenix Mussalow is 1245765874. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Phoenix Mussalow located?

Phoenix Mussalow practices at 2562 Graham Rd, Stow, OH 44224. The listed phone number is (276) 200-8769.

What is Phoenix Mussalow's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Phoenix Mussalow enrolled in Medicare?

No. Phoenix Mussalow has opted out of Medicare through February 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Phoenix Mussalow accept?

Health plans from MedMutual, Oscar Insurance Corporation of Ohio, Providence Health Plan and UnitedHealthcare list Phoenix Mussalow 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 Phoenix Mussalow was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.