Individual provider Active NPI

Taylor Nicole Barton Fronzaglio, LPCC-S

  • Mental Health Counselor
  • Youngstown, OH
National Provider Identifier
1053945485
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2303381-SUPV Issued in OH
Practice address
1714 Boardman Poland Rd Ste 10
Youngstown, OH 44514-1957
Phone
(330) 568-5651
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2103076 OH
Student in an Organized Health Care Education/Training Program 390200000X C.1902095-TRNE OH
Mental Health Counselor 101YM0800X E.2303381-SUPV OH Primary

Addresses

Primary practice location

1714 Boardman Poland Rd Ste 10
Youngstown, OH 44514-1957

Mailing address

5701 Tulane Ave
Youngstown, OH 44515-4227
Phone (330) 506-8161

Other practice location 1

5701 Tulane Ave
Youngstown, OH 44515-4227
Phone (330) 506-8161

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112003637 OH Practitioner - Mental Health Counselor 4385095454 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2103076OHMDMental Health Counselor
E.2303381-SUPVOHMDMental Health Counselor
C.1902095-TRNEOHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
TBF Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Sonder Counseling LLC Mental Health Current Accepting new patients

Locations

1714 Boardman Poland Rd
Ste 10
Youngstown, OH 44514
Phone (330) 506-8161

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1053945485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 TULANE AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445154227",
            "telephone_number": "330-506-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 BOARDMAN POLAND RD STE 10",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141957",
            "telephone_number": "330-568-5651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 Tulane Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445154227",
            "country_code": "US",
            "telephone_number": "330-506-8161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRONZAGLIO",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE BARTON",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2024-03-13",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2103076",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "C.1902095-TRNE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303381-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.