THE MARYSVILLE UNION CLUBHOUSE
NPI 1992487136
Clinic/Center - Rehabilitation, Substance Use Disorder in Marysville, OH
About The Marysville Union Clubhouse NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE MARYSVILLE UNION CLUBHOUSE (NPI 1992487136), doing business as The Marysville Union, is a healthcare organization registered as a rehabilitation, substance use disorder in Marysville, Ohio and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Marion and lists Haley Bowra, Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Marysville Union Clubhouse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to The Marysville Union Clubhouse, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 The Marysville Union Clubhouse's NPI number?
The NPI number for The Marysville Union Clubhouse is 1992487136. It was assigned to this organization in the NPPES registry on August 7, 2023. The provider is doing business as The Marysville Union.
Where is The Marysville Union Clubhouse located?
The Marysville Union Clubhouse is located at 16645 Square Dr, Marysville, OH 43040. The listed phone number is (513) 703-5078.
What is The Marysville Union Clubhouse's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Is The Marysville Union Clubhouse enrolled in Medicare?
Yes. The Marysville Union Clubhouse is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Marysville Union Clubhouse?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Addiction Medicine) reassigns their Medicare billing to The Marysville Union Clubhouse. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does The Marysville Union Clubhouse accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list The Marysville Union Clubhouse 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 The Marysville Union Clubhouse was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# The Marysville Union Clubhouse · NPI 1992487136
Rehabilitation, Substance Use Disorder organization in Marysville, Ohio. Organization record, active in the CMS NPPES registry since August 7, 2023.
## Identity
- **NPI:** 1992487136 (Entity type: Organization)
- **Enumerated:** August 7, 2023
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Also known as:** The Marysville Union (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Haley Bowra, CLINICAL DIRECTOR
## Practice location
- **Address:** 16645 SQUARE DR, Marysville, OH 43040-3510
- **Phone:** (513) 703-5078
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Addiction Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1992487136) · Data from the CMS NPPES public registry.