Active NPI
Trevor A Wright, LPC
- Professional Counselor
- Bowling Green, OH
National Provider Identifier
1023849072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2406336
- Practice address
- 440 E Poe Rd Ste 202
Bowling Green, OH 43402-4935 - Phone
- (419) 720-5800
- Fax
- (419) 720-4444
- NPI assigned
- Aug 12, 2024
- Last updated
- Aug 12, 2024
- Sex
- Male
- 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 | C.2406336 | OH | Primary |
Addresses
Primary practice location
440 E Poe Rd Ste 202
Bowling Green, OH 43402-4935
Mailing address
5565 Airport Hwy Ste 100
Toledo, OH 43615-7391
Phone (419) 720-5800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2406336 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Willow Center | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1023849072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5565 AIRPORT HWY STE 100",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436157391",
"telephone_number": "419-720-5800",
"fax_number": "419-720-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 E POE RD STE 202",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434024935",
"telephone_number": "419-720-5800",
"fax_number": "419-720-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "TREVOR",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2406336",
"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 Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.