Individual provider Active NPI

Rebecca Sue Lester-Black, LPCC, LSW

  • Mental Health Counselor
  • Toledo, OH
National Provider Identifier
1457733578
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1700263 Issued in OH
Practice address
Jobst Tower Suite 640
2109 Hughes Drive
Toledo, OH 43606
Phone
(567) 661-0505
NPI assigned
Jun 25, 2015
Last updated
Jan 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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 E.1700263 OH Primary

Addresses

Primary practice location

Jobst Tower Suite 640
2109 Hughes Drive
Toledo, OH 43606

Mailing address

5447 County Road 4
Swanton, OH 43558-9716
Phone (419) 280-1470

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
I20240111004101 OH Practitioner - Mental Health Counselor 9638520893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Toledo College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth a Deluca PHD and Associates IncGroup PAC ID 2860469160, 15 clinicians

Practice addresses (Care Compare)

6401 Jaycox Rd
North Ridgeville, OH 44039-1611
Phone (440) 327-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1700263OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Newness of Life Counseling LLC Current Accepting new patients
Kenneth a. de Luca,PH.D. & Associates, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

6401 Jaycox Rd
North Ridgeville, OH 44039
Phone (440) 452-1292

5425 Detroit Rd
Ste 6
Sheffield Village, OH 44054

Organizations & group practices 3

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1457733578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5447 COUNTY ROAD 4",
            "city": "SWANTON",
            "state": "OH",
            "postal_code": "435589716",
            "telephone_number": "419-280-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOBST TOWER SUITE 640",
            "address_2": "2109 HUGHES DRIVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606",
            "telephone_number": "567-661-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER-BLACK",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "credential": "LPCC, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1700263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.