Individual provider Active NPI

John F Tooson IV

  • Case Manager/Care Coordinator
  • Toledo, OH
National Provider Identifier
1104383330
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1946 N 13TH St Ste 450
Toledo, OH 43604-7257
Phone
(419) 720-6811
Fax
(419) 720-6809
NPI assigned
Feb 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1946 N 13TH St Ste 450
Toledo, OH 43604-7257

Mailing address

624 Main St
Toledo, OH 43605-1777
Phone (419) 720-6811

Other identifiers 1

IdentifierTypeStateIssuer
0339149MedicaidOH

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

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Growth Counseling Services LLC CurrentSince Feb 9, 2025 Accepting new patients
Personal Growth Counseling Services LLC CurrentSince May 6, 2025 Accepting new patients

Locations

5577 Airport Hwy
Ste 200
Toledo, OH 43615
Phone (419) 720-0442

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": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1104383330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 MAIN ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436051777",
            "telephone_number": "419-720-6811",
            "fax_number": "419-710-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 N 13TH ST STE 450",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047257",
            "telephone_number": "419-720-6811",
            "fax_number": "419-720-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOSON",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_suffix": "IV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-24",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0339149",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.