Organization Active NPI

Spring Valley Counseling Services LLC

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1447006929
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SPRING VALLEY COUNSELING SERVICES LLC
Practice address
6545 W Central Ave Ste 202
Toledo, OH 43617-1034
Phone
(567) 343-3377
Fax
(567) 316-6455
NPI assigned
Apr 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Brooke Forche, LISW, MSWNPI 1093470015
Title
Licensed Independent Social Worker
Phone
(419) 262-0189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6545 W Central Ave Ste 202
Toledo, OH 43617-1034

Mailing address

5526 Dorr St
Toledo, OH 43615-3612
Phone (419) 262-0189

Other practice location 1

6545 W Central Ave Ste 203
Toledo, OH 43617-1034
Phone (567) 343-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241031001204 OH Part B Supplier - Clinic/Group Practice 3577096395 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

6545 W Central Ave
Ste 202
Toledo, OH 43617
Phone (419) 318-9044

6545 W Central Ave
Ste 203
Toledo, OH 43617
Phone (567) 343-3377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1447006929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5526 DORR ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153612",
            "telephone_number": "419-262-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 W CENTRAL AVE STE 202",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171034",
            "telephone_number": "567-343-3377",
            "fax_number": "567-316-6455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6545 W Central Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436171034",
            "country_code": "US",
            "telephone_number": "567-343-3377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPRING VALLEY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "FORCHE",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "LICENSED INDEPENDENT SOCIAL WORKER",
        "authorized_official_telephone_number": "419-262-0189",
        "authorized_official_credential": "LISW, MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Nov 11, 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.