Active NPI
Caitlyn Marie Zoeller, LPC
- Mental Health Counselor
- Bowling Green, OH
National Provider Identifier
1295158079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.1300419-TRNE
- Practice address
- 1021 W Poe Rd
Bowling Green, OH 43402-9362 - Phone
- (419) 352-4694
- Fax
- (419) 353-1807
- NPI assigned
- Jan 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.1300419-TRNE | OH | Primary |
Addresses
Primary practice location
1021 W Poe Rd
Bowling Green, OH 43402-9362
Mailing address
1100 Shawnee Rd
Lima, OH 45805-3583
Phone (419) 999-2010
Other practice location 1
151 Marion Ave
Mansfield, OH 44903-2223
Phone (419) 774-9969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0290599 | Medicaid | OH |
Other names 1
- Miss Caitlyn Marie Hicks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1300419-TRNE | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1295158079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SHAWNEE RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458053583",
"telephone_number": "419-999-2010",
"fax_number": "419-999-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 W POE RD",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434029362",
"telephone_number": "419-352-4694",
"fax_number": "419-353-1807"
}
],
"practiceLocations": [
{
"address_1": "151 Marion Ave",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449032223",
"country_code": "US",
"telephone_number": "419-774-9969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZOELLER",
"first_name": "CAITLYN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-29",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1300419-TRNE",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0290599",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAITLYN",
"last_name": "HICKS",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bowling Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.