Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Ellen Souder, LPCC-S

Individual provider Marriage & Family Therapist · NPI 1124247499

Mrs. Mary Ellen Souder, LPCC-S is a Mental Health Counselor in Mansfield, Ohio. Qualified in 2006, 20 years ago. Practices with Family Life Counseling and Psychiatric Services, a 12-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
20
Licensed in
OH
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

151 Marion Ave
Mansfield, OH 44903-2223
Phone: (419) 774-9969
Fax: (419) 756-5642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E0007898-SUPV (OH)
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1124247499
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC-S
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESMay 3, 2021
Certification dateMay 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Family Life Counseling And Psychiatric Services — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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