Active NPI
Mary Burgess Todd, MA, PC, CFC
- Professional Counselor
- Tiffin, OH
National Provider Identifier
1063712404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C-0900022
- Practice address
- 777 S Washington St
Tiffin, OH 44883-3325 - Phone
- (419) 448-4094
- Fax
- (419) 448-4095
- NPI assigned
- Nov 2, 2010
- Last updated
- Nov 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
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-0900022 | OH | Primary |
Addresses
Primary practice location
777 S Washington St
Tiffin, OH 44883-3325
Mailing address
34 Glenview Terrace
Tiffin, OH 44883
Phone (419) 934-0330
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-0900022 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1063712404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 GLENVIEW TERRACE",
"city": "TIFFIN",
"state": "OH",
"postal_code": "44883",
"telephone_number": "419-934-0330",
"fax_number": "419-448-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 S WASHINGTON ST",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448833325",
"telephone_number": "419-448-4094",
"fax_number": "419-448-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "MARY",
"middle_name": "BURGESS",
"credential": "MA, PC, CFC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C-0900022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tiffin, OH
- Tiffin Developmental Center
- Tiffin Emergency Services, LLC
- Tiffin Pediatrics LLC (Tiffin Pediatrics)
- Tiffin Psychiatry Center
- Kelsey Christine Tobin
- Ryan Joseph Tran, MD
- Michelle Lee Trapp, LPN
- Trilogy Healthcare of Tiffin, LLC (The Willows at Tiffin)
- Trilogy Management Services LLC
- Tu II (Hearth & Home at Friedman Village)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.