Organization Active NPI

Valerie Liebert LLC

  • Professional Counselor
  • Perrysburg, OH
National Provider Identifier
1184308868
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
VALERIE LIEBERT LLC
Practice address
337 W. 2ND Street
Perrysburg, OH 43551-1406
Phone
(419) 309-7100
NPI assigned
Jun 13, 2023
Last updated
Jun 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Valerie Jean Liebert, LPCCNPI 1306970835
Title
Owner/President
Phone
(419) 309-7100

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
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

337 W. 2ND Street
Perrysburg, OH 43551-1406

Mailing address

337 W. 2ND Street
Perrysburg, OH 43551-1406
Phone (419) 309-7100

Other identifiers 1

IdentifierTypeStateIssuer
0190462MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240513001937 OH Part B Supplier - Clinic/Group Practice 1456792159 Receives reassigned benefits from 1 practitioner
Practice locations: Perrysburg, OH

National Provider Directory

National Provider Directory
Tax ID family
Valerie Liebert2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1184308868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 W. 2ND STREET",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511406",
            "telephone_number": "419-309-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 W. 2ND STREET",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511406",
            "telephone_number": "419-309-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE LIEBERT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "LIEBERT",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "419-309-7100",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190462",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.