Organization Active NPI

Whole Self Counseling LLC

  • Clinical Social Worker
  • Perrysburg, OH
National Provider Identifier
1033985213
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WHOLE SELF COUNSELING LLC
Practice address
119 W 2ND St
Perrysburg, OH 43551-1471
Phone
(815) 207-1278
NPI assigned
Nov 29, 2023
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Joy C Herrera, LISWNPI 1376043398
Title
Owner
Phone
(815) 207-1278

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

119 W 2ND St
Perrysburg, OH 43551-1471

Mailing address

3135 N Bolander Rd
Genoa, OH 43430-9739
Phone (815) 207-1278

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240224000354 OH Part B Supplier - Clinic/Group Practice 6002251576 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

5151 Monroe St
Ste 250C
Toledo, OH 43623
Phone (419) 908-7867

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1033985213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 N BOLANDER RD",
            "city": "GENOA",
            "state": "OH",
            "postal_code": "434309739",
            "telephone_number": "815-207-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 2ND ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511471",
            "telephone_number": "815-207-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE SELF COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-207-1278",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.