Provider Demographics
NPI:1922524172
Name:MCGRATH, PATRICIA (LPCC-S, LICDC, NCC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:LPCC-S, LICDC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5421 EDWARDS PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-5682
Mailing Address - Country:US
Mailing Address - Phone:614-815-4005
Mailing Address - Fax:
Practice Address - Street 1:4694 CEMETERY RD STE 331
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1124
Practice Address - Country:US
Practice Address - Phone:614-591-8730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-19
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH161473101YA0400X
OH1500163101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0349532Medicaid