Premiere Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PREMIERE COUNSELING SERVICES, LLC

Practice address

1070 Commerce Drive
Building One, Suite 101
Perrysburg, OH 43551

Phone

(419) 482-8382

NPI assigned

Oct 7, 2024

Last updated

Dec 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Derek Lee, PH.D.NPI 1356636070

Title

Consultant

Phone

(419) 482-8382

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 32

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.

• Aaron J Cromly, PCC-S

  • Mental Health Counselor
  • Toledo, OH
  • NPI 1336335629
  Medicare reassignment NPD
• Wendy Fuller, LPCC

  • Mental Health Counselor
  • Perrysburg, OH
  • NPI 1871149641
  Medicare reassignment NPD
• Sarah R Hall, LPCC

  • Psychiatric/Mental Health Nurse Practitioner
  • Perrysburg, OH
  • NPI 1710226717

  Professional

  Medicare reassignment NPD
• Nicole Rybarczyk, MA, LPCC

  • Professional Counselor
  • Toledo, OH
  • NPI 1366817587
  Medicare reassignment NPD
• Derek Lee, PC

  • Counselor
  • Lubbock, TX
  • NPI 1356636070
  NPD (past) Authorized official
• Matthew R Fuelling, LPC

  • Professional Counselor
  • Perrysburg, OH
  • NPI 1841189917
  NPD
• Karen S Kinzig, LPC

  • Professional Counselor
  • Perrysburg, OH
  • NPI 1427838796
  NPD
• Kathleen M Klein, LPC

  • Professional Counselor
  • Perrysburg, OH
  • NPI 1659023505
  NPD
• David Marsteller

  • Counselor
  • Perrysburg, OH
  • NPI 1265066484
  NPD
• Hollis Olivia Martinez

  • Mental Health Counselor
  • Perrysburg, OH
  • NPI 1669098620
  NPD
• Brandon Moore

  • Home Health Aide
  • Waterville, OH
  • NPI 1699124321
  NPD
• Austin Joseph Penler, LPC

  • Mental Health Counselor
  • Perrysburg, OH
  • NPI 1144191263
  NPD

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1356160394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 COMMERCE DRIVE",
            "address_2": "BUILDING ONE, SUITE 101",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "43551",
            "telephone_number": "419-482-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 COMMERCE DRIVE",
            "address_2": "BUILDING ONE, SUITE 101",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "43551",
            "telephone_number": "419-482-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "419-482-8382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.