Active NPI
Shana Bentley, M.A., LPC
- Professional Counselor
- Toledo, OH
National Provider Identifier
1003356700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1901202
- Practice address
- 424 W Woodruff Ave
Toledo, OH 43604-5027 - Phone
- (419) 841-7701
- NPI assigned
- Feb 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1901202 | OH | Primary |
Addresses
Primary practice location
424 W Woodruff Ave
Toledo, OH 43604-5027
Mailing address
424 W Woodruff Ave
Toledo, OH 43604-5027
Phone (419) 841-7701
Other names 1
- Shana Hoover
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1901202 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bentley Therapy Services, LLC | Professional | Current | Accepting new patients |
Locations
27457 Holiday Ln
Ste H
Perrysburg, OH 43551
Phone (419) 315-3102
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Perrysburg, OH
- NPI 1245012558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1003356700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 W WOODRUFF AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436045027",
"telephone_number": "419-841-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 W WOODRUFF AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436045027",
"telephone_number": "419-841-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTLEY",
"first_name": "SHANA",
"credential": "M.A., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1901202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANA",
"last_name": "HOOVER",
"credential": "M.A., LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.