Individual provider Active NPI

Amy L Wobser, MA LPCC-S

  • Counselor
  • Toledo, OH
National Provider Identifier
1326427972
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.0700017 Issued in OH
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

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0214630MedicaidOH

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

LicenseStateTypeSpecialty
E.0700017OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tasc of Northwest Ohio CurrentSince Jul 1, 2022 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.

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.

Verify at the official NPI Registry.