Mourning Glory Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MOURNING GLORY COUNSELING, LLC

Practice address

1011 Sandusky St Ste G
Perrysburg, OH 43551-3171

Phone

(419) 276-0695

NPI assigned

Oct 18, 2022

Organization subpart

No

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

Authorized official

Name

Paula Rose Tasma, LPCC-SNPI 1295149573

Title

Owner

Phone

(419) 276-0695

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Paula Tasma, LPCC

  • Mental Health Counselor
  • Perrysburg, OH
  • NPI 1295149573
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1154047306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 SANDUSKY ST STE G",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513171",
            "telephone_number": "419-276-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 SANDUSKY ST STE G",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513171",
            "telephone_number": "419-276-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOURNING GLORY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "TASMA",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-276-0695",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0341480",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deadra Morse
• Meredith O Morse, M.D.
• Amy R Mossing, APRN
• Douglas Mossing, PT
• Rania Mourad
• Debra P Mowery
• Christopher Michael Muller, M.ED., LPCC
• Jeffrey L Muszynski, R.PH.
• Bobbie Jo Myers
• Linda Myers, PTA

• Professional Counselor in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.