Paula Lynn Rettig, LPC LCDCII

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1500304 Issued in OH

Practice address

22897 US-20 Alt
Archbold, OH 43502

Phone

(419) 445-1980

NPI assigned

Mar 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Encompass Care, Inc.

  • Rehabilitation Clinic/Center
  • Napoleon, OH
  • NPI 1770107088
  NPD (past)
• Sound House Counseling LLC

  • Clinical Social Worker
  • Bowling Green, OH
  • NPI 1437881828
  NPD (past)

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1114553666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12484 STATE ROUTE 110",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459340",
            "telephone_number": "419-310-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22897 US-20 ALT",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "43502",
            "telephone_number": "419-445-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTIG",
        "first_name": "PAULA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC LCDCII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "1500304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Jasper Posey
• Promedica Genito-Urinary Surgeons LLC
• Amber Marie Reed
• Beth A. Reichert, L.P.C.C.
• Susan Restivo, MA, CCC-SP
• Deyanira Reyes
• John Martin Riedeman, P.T.A.
• Michelle Riedeman, L.P.T.A.
• Pamela J. Riedeman, LPT
• Rite Aid of Ohio Inc (Rite Aid Pharmacy 02583)

• Counselor in Archbold, OH
• Providers in Archbold, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.