NPIMap

Organization Active NPI

Mighty Oak Christian Counseling LLC

  • Professional Counselor
  • Bowling Green, OH
National Provider Identifier
1003361734
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C00900343 Issued in OH
Legal business name
MIGHTY OAK CHRISTIAN COUNSELING LLC
Practice address
441 Frazee Ave Ste a
Bowling Green, OH 43402-1886
Phone
(419) 575-7910
Fax
(419) 386-0951
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linann M Teggart, LPCC-SNPI 1336444538
Title
Professional Clinical Counselor
Phone
(419) 575-7910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X C00900343 OH Primary

Addresses

Primary practice location

441 Frazee Ave Ste a
Bowling Green, OH 43402-1886

Mailing address

441 Frazee Ave Ste a
Bowling Green, OH 43402-1886
Phone (419) 575-7910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240919001324 OH Part B Supplier - Clinic/Group Practice 7618418559 Receives reassigned benefits from 6 practitioners
Practice locations: Bowling Green, OH

National Provider Directory

National Provider Directory

Locations

441 Frazee Ave
Ste A
Bowling Green, OH 43402
Phone (419) 575-7910

141 E Court St
Ste B
Bowling Green, OH 43402
Phone (419) 575-7910

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1003361734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 FRAZEE AVE STE A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021886",
            "telephone_number": "419-575-7910",
            "fax_number": "419-386-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 FRAZEE AVE STE A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021886",
            "telephone_number": "419-575-7910",
            "fax_number": "419-386-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY OAK CHRISTIAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "TEGGART",
        "authorized_official_first_name": "LINANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROFESSIONAL CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "419-575-7910",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C00900343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.