Active NPI
Betty Jane Tingley, LSW
- Mental Health Counselor
- Wauseon, OH
National Provider Identifier
1407035041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S. 0025805
- Practice address
- 7320 State Highway 108
Suite a
Wauseon, OH 43567-8200 - Phone
- (419) 335-3723
- Fax
- (419) 335-3462
- NPI assigned
- Oct 31, 2007
- Last updated
- Oct 31, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S. 0025805 | OH | Primary |
Addresses
Primary practice location
7320 State Highway 108
Suite a
Wauseon, OH 43567-8200
Mailing address
1 Stranahan SQ
Suite 414
Toledo, OH 43604-1447
Phone (419) 244-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S. 0025805 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maumee Valley Guidance Center Inc. | Current | Accepting new patients |
Locations
910 E Maple St
Bryan, OH 43506
Phone (419) 636-2932
211 Biede Ave
Defiance, OH 43512
Phone (419) 782-8856
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Defiance, OH
- NPI 1033189642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1407035041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 STRANAHAN SQ",
"address_2": "SUITE 414",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041447",
"telephone_number": "419-244-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 STATE HIGHWAY 108",
"address_2": "SUITE A",
"city": "WAUSEON",
"state": "OH",
"postal_code": "435678200",
"telephone_number": "419-335-3723",
"fax_number": "419-335-3462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINGLEY",
"first_name": "BETTY",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-31",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "S. 0025805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauseon, OH
- Molly Nicole Suter, M.S. CF-SLP
- Swanson Orthotics & Prosthetics Center, Inc. (Swanson Regional Orthotic & Prosthetic Research Center)
- T. Frederick Weigand Jr MD Inc
- Bailey Justine Taylor, HCA
- Matthew J Tester, PTA
- Daryl James Titsworth, CPHT
- Toledo Clinic PLLC
- Tri County Chiropractic
- Tri State Medical Supply
- Triangular Processing
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.