Organization Active NPI

Healing Trails, LLC

  • Community/Behavioral Health Agency
  • Castalia, OH
National Provider Identifier
1295167757
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
111018 Issued in OH
Legal business name
HEALING TRAILS, LLC
Practice address
4317 State Route 269 S
Castalia, OH 44824-9354
Phone
(419) 684-9750
NPI assigned
Aug 6, 2013
Last updated
Aug 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Carrie Torres, LCDCIII
Title
Counselor
Phone
(419) 552-0647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 111018 OH Primary

Addresses

Primary practice location

4317 State Route 269 S
Castalia, OH 44824-9354

Mailing address

143 County Road 242
Fremont, OH 43420-9234
Phone (419) 552-0647

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1295167757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 COUNTY ROAD 242",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434209234",
            "telephone_number": "419-552-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 STATE ROUTE 269 S",
            "city": "CASTALIA",
            "state": "OH",
            "postal_code": "448249354",
            "telephone_number": "419-684-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TRAILS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "419-552-0647",
        "authorized_official_credential": "LCDCIII"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "111018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castalia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.