Active NPI
Theresa Butler, M.ED., LPCC-S, LSW
- Professional Counselor
- Toledo, OH
National Provider Identifier
1356660807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0002586-SUPV
- Practice address
- 5151 Monroe St Ste 200
Toledo, OH 43623-3466 - Phone
- (419) 475-4449
- Fax
- (419) 479-3832
- NPI assigned
- May 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S 1303140 | OH | |
| Professional Counselor | 101YP2500X | E.0002586-SUPV | OH | Primary |
Addresses
Primary practice location
5151 Monroe St Ste 200
Toledo, OH 43623-3466
Mailing address
PO Box 8970
Toledo, OH 43623-0970
Phone (419) 241-6191
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0002586-SUPV | OH | MD | Professional Counselor |
| S 1303140 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1356660807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8970",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436230970",
"telephone_number": "419-241-6191",
"fax_number": "419-255-5623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 MONROE ST STE 200",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233466",
"telephone_number": "419-475-4449",
"fax_number": "419-479-3832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "THERESA",
"credential": "M.ED., LPCC-S, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-24",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S 1303140",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0002586-SUPV",
"primary": true
}
],
"identifiers": [],
"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 Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.