Organization Active NPI

Bayshore Counseling Services

  • Community/Behavioral Health Agency
  • Port Clinton, OH
National Provider Identifier
1386846830
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CDCA Issued in OH
Legal business name
BAYSHORE COUNSELING SERVICES
Practice address
201 Madison St FL 3
Port Clinton, OH 43452-1170
Phone
(149) 734-5534
Fax
(149) 734-5536
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Janet Marie Leffler II, CDCA
Title
Chemical Dependency Counselor Ass.
Phone
(800) 686-0088

Specialties & licenses 1

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

Addresses

Primary practice location

201 Madison St FL 3
Port Clinton, OH 43452-1170

Mailing address

112 Howard St
Clyde, OH 43410-1214

National Provider Directory

National Provider Directory
Tax ID family
Bayshore Counseling Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 Madison St
Fl 3
Port Clinton, OH 43452

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386846830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HOWARD ST",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434101214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MADISON ST FL 3",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521170",
            "telephone_number": "149-734-5534",
            "fax_number": "149-734-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEFFLER",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHEMICAL DEPENDENCY COUNSELOR ASS.",
        "authorized_official_telephone_number": "800-686-0088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "CDCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "CDCA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Clinton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.