Individual provider Active NPI

Betty Jane Tingley, LSW

  • Mental Health Counselor
  • Wauseon, OH
National Provider Identifier
1407035041
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S. 0025805 Issued in OH
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409003859 OH Practitioner - Clinical Social Worker 0244678266 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S. 0025805OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maumee Valley Guidance Center Inc. CurrentSince Feb 21, 2024 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.

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

Sources for this page

Verify at the official NPI Registry.