Organization Active NPI

Trinity Care of Ohio, LLC

  • Marriage & Family Therapist
  • Perrysburg, OH
National Provider Identifier
1265891402
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F15000022 Issued in OH
Legal business name
TRINITY CARE OF OHIO, LLC
Practice address
122 W Front St
Suite D
Perrysburg, OH 43551-1467
Phone
(702) 810-5940
NPI assigned
Feb 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Nannette Fader, IMFT
Title
Owner/President
Phone
(702) 810-5940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X F15000022 OH Primary

Addresses

Primary practice location

122 W Front St
Suite D
Perrysburg, OH 43551-1467

Mailing address

122 W Front St
Suite D
Perrysburg, OH 43551-1467
Phone (702) 810-5940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240628003231 OH Part B Supplier - Clinic/Group Practice 5395040844 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH; Perrysburg, OH

National Provider Directory

National Provider Directory

Locations

122 W Front St
Ste D
Perrysburg, OH 43551
Phone (419) 377-8417

6800 W Central Ave
Ste F
Toledo, OH 43617
Phone (419) 377-8417

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1265891402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W FRONT ST",
            "address_2": "SUITE D",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511467",
            "telephone_number": "702-810-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W FRONT ST",
            "address_2": "SUITE D",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511467",
            "telephone_number": "702-810-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CARE OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "FADER",
        "authorized_official_first_name": "NANNETTE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "702-810-5940",
        "authorized_official_credential": "IMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F15000022",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 16, 2016; 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.