NPIMap

Organization Active NPI

Maumee Valley Guidance Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Defiance, OH
National Provider Identifier
1033189642
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MAUMEE VALLEY GUIDANCE CENTER INC.
Practice address
211 Biede Ave
Defiance, OH 43512-2408
Phone
(419) 782-8856
Fax
(419) 784-4506
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Connie Planson
Title
President/Ceo
Phone
(419) 782-8856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

211 Biede Ave
Defiance, OH 43512-2408

Mailing address

211 Biede Ave
Defiance, OH 43512-2408
Phone (419) 782-8856

Other identifiers 1

IdentifierTypeStateIssuer
0939463MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050914001344 OH Part B Supplier - Clinic/Group Practice 0547293003 Receives reassigned benefits from 13 practitioners
Practice locations: Bryan, OH; Defiance, OH; Napoleon, OH; Wauseon, OH

National Provider Directory

National Provider Directory
Tax ID family
Maumee Valley Guidance Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

910 E Maple St
Bryan, OH 43506
Phone (419) 636-2932

1325 Woodlawn Ave
Napoleon, OH 43545
Phone (410) 592-1500

733 N Perry St
Napoleon, OH 43545
Phone (419) 782-8856

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1033189642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BIEDE AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122408",
            "telephone_number": "419-782-8856",
            "fax_number": "419-784-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BIEDE AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122408",
            "telephone_number": "419-782-8856",
            "fax_number": "419-784-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUMEE VALLEY GUIDANCE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "PLANSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "419-782-8856"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0939463",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.