MEDICARE: MID-OHIO COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	I.0500036-SUPV	OH
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1700022639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MID-OHIO COUNSELING, LLC

Provider Business Mailing Address
First Line	:	905 RIVER RD STE B
Second Line	:
City	:	GRANVILLE
State	:	OH
Zip	:	43023-9560
Country	:	US
Telephone Number	:	740-507-6707
Fax Number	:	740-920-4244

Provider Business Practice Location Address
First Line	:	905 RIVER RD STE B
Second Line	:
City	:	GRANVILLE
State	:	OH
Zip	:	43023-9560
Country	:	US
Telephone Number	:	740-507-6707
Fax Number	:	740-920-4244

Authorized Official
Title or Position	:	THERAPIST
Name	:	KAREN S. COWIE
Credential	:	LISW-S, LICDC
Telephone Number	:	740-507-6707

Provider Enumeration Date	:	12/24/2008
Last Update Date	:	02/13/2026

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