Organization Active NPI

CPPL LLC

  • Mental Health Counselor
  • Toledo, OH
National Provider Identifier
1184012718
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E. 0900306 Issued in OH
Legal business name
CPPL LLC
Practice address
3454 Oak Alley CT Ste 406
Toledo, OH 43606-1355
Phone
(419) 742-2745
NPI assigned
Jan 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Estil Canterbury, MA, LPCCNPI 1386032910
Title
Clinical Counselor
Phone
(419) 742-2745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X E. 0900306 OH Primary

Addresses

Primary practice location

3454 Oak Alley CT Ste 406
Toledo, OH 43606-1355

Mailing address

4111 Shamley Green Dr
Toledo, OH 43623-3232
Phone (419) 787-2807

National Provider Directory

National Provider Directory

Locations

3454 Oak Alley Ct
Ste 406
Toledo, OH 43606
Phone (419) 540-8267

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1184012718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 SHAMLEY GREEN DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233232",
            "telephone_number": "419-787-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 406",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061355",
            "telephone_number": "419-742-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPPL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "CANTERBURY",
        "authorized_official_first_name": "ESTIL",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "419-742-2745",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E. 0900306",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 6, 2015; 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.