Individual provider Active NPI

Cindy Jane Livingston, LISW-S

  • Clinical Social Worker
  • Perrysburg, OH
National Provider Identifier
1194817288
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0009614 Issued in OH
Practice address
900 W South Boundary St BLDG 7B
Perrysburg, OH 43551-5244
Phone
(419) 356-7715
Fax
(877) 622-7635
NPI assigned
Sep 28, 2006
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X OH
Pastoral Counselor 101YP1600X OH
Clinical Social Worker 1041C0700X I0009614 OH Primary

Addresses

Primary practice location

900 W South Boundary St BLDG 7B
Perrysburg, OH 43551-5244

Mailing address

900 W South Boundary St BLDG 7B
Perrysburg, OH 43551-5244
Phone (419) 356-7715

Other practice location 1

4041 W Sylvania Ave Ste Ll2
Toledo, OH 43623-4465
Phone (419) 724-4233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061011000000 OH Practitioner - Clinical Social Worker 6901802255 Reassigns benefits to 1 organization
Practice locations: Toledo, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hope Christian Counseling CenterGroup PAC ID 4587086244, 2 clinicians

Practice addresses (Care Compare)

900 W S Boundary St
BLDG 7B
Perrysburg, OH 43551-5244
Phone 4197244233102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Christian Counseling Center Clinical CurrentSince Aug 22, 2017 Accepting new patients

Locations

900 W South Boundary St
Bldg 7B
Perrysburg, OH 43551
Phone (419) 724-4233

4041 W Sylvania Ave
Ste LL2
Toledo, OH 43623
Phone (419) 704-2938

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1194817288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W SOUTH BOUNDARY ST BLDG 7B",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515244",
            "telephone_number": "419-356-7715",
            "fax_number": "877-622-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W SOUTH BOUNDARY ST BLDG 7B",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515244",
            "telephone_number": "419-356-7715",
            "fax_number": "877-622-7635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4041 W Sylvania Ave Ste Ll2",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234465",
            "country_code": "US",
            "telephone_number": "419-724-4233",
            "fax_number": "877-622-7635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "CINDY",
        "middle_name": "JANE",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0009614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.