Organization Active NPI

TD Counseling, LLC

  • Clinical Social Worker
  • Canfield, OH
National Provider Identifier
1104289156
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1303604 Issued in OH
Legal business name
TD COUNSELING, LLC
Practice address
7 Court St Ste 260
Canfield, OH 44406-1407
Phone
(330) 333-9559
Fax
(234) 414-0069
NPI assigned
Mar 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Terri Liller, LISW-S,LICDC
Title
Owner
Phone
(330) 333-9559

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X I.1303604 OH Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

7 Court St Ste 260
Canfield, OH 44406-1407

Mailing address

7 Court St Ste 260
Canfield, OH 44406-1407
Phone (330) 333-9559

National Provider Directory

National Provider Directory

Locations

7 Court St
Ste 260
Canfield, OH 44406
Phone (330) 333-9559

132 S Broad St
Ste 204A
Canfield, OH 44406
Phone (330) 531-8604

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1104289156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COURT ST STE 260",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061407",
            "telephone_number": "330-333-9559",
            "fax_number": "234-414-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COURT ST STE 260",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061407",
            "telephone_number": "330-333-9559",
            "fax_number": "234-414-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TD COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "LILLER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-333-9559",
        "authorized_official_credential": "LISW-S,LICDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1303604",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.