MISS SUMATHI V. MUDDENAHALLI M.ED., LPCC
NPI 1720560782
Counselor - Mental Health in Wooster, OH

Q: What is Sumathi Muddenahalli's NPI number?

The NPI number for Sumathi Muddenahalli is 1720560782. It was assigned to this individual provider in the NPPES registry on September 5, 2018.

Q: What is Sumathi Muddenahalli's specialty?

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

Active since September 05, 2018PECOS EnrolledAccepts Medicare Assignment

2285 BENDEN DR, WOOSTER, OH 44691(330) 264-9029(330) 263-7251 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 18, 2026, Jan 31, 2020, Sep 5, 2018 (3 updates tracked since 2018).

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About Miss Sumathi V. Muddenahalli M.ed., Lpcc NPPES

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

MISS SUMATHI V. MUDDENAHALLI M.ED., LPCC (NPI 1720560782) is an individual mental health provider in Wooster, Ohio, licensed in Ohio (C.1801193) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720560782

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMISS SUMATHI V. MUDDENAHALLICredential: M.ED., LPCC

Location Address2285 BENDEN DRWooster, OH 44691-2568

Mailing Address2285 Benden DrWooster, OH 44691-2568 · (330) 264-9029 · Fax (330) 263-7251

Phone(330) 264-9029

Fax(330) 263-7251

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 5, 2018

Last NPPES UpdateMay 18, 20263 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1720560782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · C.1801193

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C1801193 (OH)

2285 BENDEN DR, Wooster, OH 44691

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Sumathi V. Muddenahalli M.ed., Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315411980

PECOS Enrollment IDI20260706000641

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sumathi Muddenahalli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counseling Center Of Wayne & Holmes Counties

Same address

Community/Behavioral Health

2285 BENDEN DR
Wooster, OH 44691

Reassigned Medicare billing, Ohio enrollment
21 clinicians in this Medicare group

NPI 1215975685 (330) 264-9029

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MRS. ALLISON KATHLEEN EUREKA QMHS-BACH

Behavior Technician