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MARK SHOEMAKER
NPI 1720967474
Counselor - Professional in Fostoria, OH

Active since August 28, 2025PECOS Enrolled
125 S MAIN ST STE 305, FOSTORIA, OH 44830(567) 429-1000 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark Shoemaker NPPES

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

MARK SHOEMAKER (NPI 1720967474) is an individual professional provider in Fostoria, Ohio, licensed in Ohio (C.2204630) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720967474
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMARK SHOEMAKER
Location Address125 S MAIN ST STE 305Fostoria, OH 44830-2361
Mailing Address125 S Main St Ste 305Fostoria, OH 44830-2361 · (567) 429-1000
Phone(567) 429-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1720967474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · C.2204630
125 S MAIN ST STE 305, Fostoria, OH 44830
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Shoemaker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981164605
PECOS Enrollment IDI20260902000799
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 Mark Shoemaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serenity Christian Counseling
0.1 mi
Professional
125 S MAIN ST STE 305
Fostoria, OH 44830
  • Reassigned Medicare billing, Ohio enrollment
  • 10 clinicians in this Medicare group
NPI 1316432636 (567) 429-1000

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 9

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

ALISON LEBLANC LPC
Counselor (Professional)
125 S MAIN ST STE 305
FOSTORIA, OH 44830
Seneca County (567) 294-1000
MONICA LISA CROSS
Counselor (Professional)
125 S MAIN ST STE 305
FOSTORIA, OH 44830
Seneca County (567) 429-1000
ROBERT TANSILL
Case Manager/Care Coordinator
125 S MAIN ST STE 305
FOSTORIA, OH 44830
Seneca County (567) 429-1000
SERENITY CHRISTIAN COUNSELING
Counselor (Professional)
125 S MAIN ST STE 305
FOSTORIA, OH 44830
Seneca County (567) 429-1000
MISS ERICA SCOTT RN
Registered Nurse
125 S MAIN ST STE 305
FOSTORIA, OH 44830
Seneca County (567) 249-1000
SERENITY CHRISTIAN COUNSELING LLC
Community/Behavioral Health
125 S MAIN ST STE 305
FOSTORIA, OH 44830
Seneca County (567) 294-1000
SERENITY CHRISTIAN COUNSELING LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
125 S MAIN ST STE 305
FOSTORIA, OH 44830
Seneca County (567) 249-1000
MICHAELA MELLINGER
Counselor (Professional)
125 S MAIN ST STE 305
FOSTORIA, OH 44830
Seneca County (567) 429-1000

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 Mark Shoemaker's NPI number?

The NPI number for Mark Shoemaker is 1720967474. It was assigned to this individual provider in the NPPES registry on August 28, 2025.

Where is Mark Shoemaker located?

Mark Shoemaker practices at 125 S Main St Ste 305, Fostoria, OH 44830. The listed phone number is (567) 429-1000.

What is Mark Shoemaker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mark Shoemaker enrolled in Medicare?

Yes. Mark Shoemaker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Shoemaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Shoemaker reassigns Medicare benefits to Serenity Christian Counseling (Fostoria, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Shoemaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Shoemaker accept?

Health plans from Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Mark Shoemaker 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 Mark Shoemaker was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.