Active NPI
Thelma E Esterline, LPCC
- Counselor
- Bryan, OH
National Provider Identifier
1053809228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E.2102121-SUPV
- Practice address
- 120 W High St
Bryan, OH 43506-1395 - Phone
- (419) 439-5544
- NPI assigned
- Apr 24, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 39005603A | IN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.162142 | OH | |
| Counselor | 101Y00000X | E.2102121-SUPV | OH | Primary |
Addresses
Primary practice location
120 W High St
Bryan, OH 43506-1395
Mailing address
120 W High St
Bryan, OH 43506-1395
Phone (419) 439-5544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39005603A | IN | MD | Counselor |
| E.2102121-SUPV | OH | MD | Counselor |
| LICDC.162142 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maumee Valley Guidance Center Inc. | Current | Accepting new patients |
Locations
910 E Maple St
Bryan, OH 43506
Phone (419) 636-2932
211 Biede Ave
Defiance, OH 43512
Phone (419) 782-8856
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Defiance, OH
- NPI 1033189642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1053809228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W HIGH ST",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061395",
"telephone_number": "419-439-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W HIGH ST",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061395",
"telephone_number": "419-439-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTERLINE",
"first_name": "THELMA",
"middle_name": "E",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-24",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "39005603A",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.162142",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E.2102121-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.