Active NPI
Amy L Wobser, MA LPCC-S
- Counselor
- Toledo, OH
National Provider Identifier
1326427972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E.0700017
- Practice address
- 701 Jefferson Ave Ste 101
Toledo, OH 43604-6956 - Phone
- (419) 255-9585
- Fax
- (419) 255-8855
- NPI assigned
- May 28, 2015
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | E.0700017 | OH | Primary |
Addresses
Primary practice location
701 Jefferson Ave Ste 101
Toledo, OH 43604-6956
Mailing address
1860 W Alexis Rd
Toledo, OH 43613-2303
Phone (419) 266-6060
Other practice location 1
316 N Michigan St
Ste 914
Toledo, OH 43604-5667
Phone (419) 496-9783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0214630 | Medicaid | OH |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0700017 | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tasc of Northwest Ohio | Current | Accepting new patients | |
| Tasc of Northwest Ohio | Current | Accepting new patients | |
| Full Circle to Completion LLC | Past | Accepting new patients | |
| Full Circle to Completion LLC | Past | Accepting new patients |
Locations
701 Jefferson Ave
Ste 101
Toledo, OH 43604
Phone (419) 242-9955
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1548538143
-
- Case Management Agency
- Toledo, OH
- NPI 1922171677
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1114261682
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1770017865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1326427972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 W ALEXIS RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436132303",
"telephone_number": "419-266-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 JEFFERSON AVE STE 101",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436046956",
"telephone_number": "419-255-9585",
"fax_number": "419-255-8855"
}
],
"practiceLocations": [
{
"address_1": "316 N Michigan St",
"address_2": "Ste 914",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436045667",
"country_code": "US",
"telephone_number": "419-496-9783",
"fax_number": "419-246-9798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOBSER",
"first_name": "AMY",
"middle_name": "L",
"credential": "MA LPCC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E.0700017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0214630",
"state": "OH"
}
],
"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 Apr 23, 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.