Organization Active NPI

Blessings in Disguize

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1205354305
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLESSINGS IN DISGUIZE
Practice address
4334 W Central Ave Ste 203
Toledo, OH 43615-1679
Phone
(419) 239-4079
NPI assigned
Sep 8, 2017
Last updated
Feb 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

Name
Jasmine Lynn Pope, LISW, LICDCNPI 1841711314
Title
Owner
Phone
(419) 239-4079

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4334 W Central Ave Ste 203
Toledo, OH 43615-1679

Mailing address

1805 Fairfax Rd
Toledo, OH 43613-5211
Phone (419) 239-4079

Other practice location 1

5647 Mayberry Sq E
Sylvania, OH 43560-9456
Phone (419) 239-4079

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171201002120 OH Part B Supplier - Clinic/Group Practice 7012274848 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

3131 Executive Pkwy
Ste 210
Toledo, OH 43606
Phone (419) 239-4079

4334 W Central Ave
Ste 203
Toledo, OH 43615
Phone (419) 239-4079

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": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1205354305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 FAIRFAX RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436135211",
            "telephone_number": "419-239-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 W CENTRAL AVE STE 203",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151679",
            "telephone_number": "419-239-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5647 Mayberry Sq E",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435609456",
            "country_code": "US",
            "telephone_number": "419-239-4079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLESSINGS IN DISGUIZE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-239-4079",
        "authorized_official_credential": "LISW, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Feb 19, 2019; 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.