Active NPI
Rebecca Sue Lester-Black, LPCC, LSW
- Mental Health Counselor
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.1700263
- 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, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| E.1700263 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newness of Life Counseling LLC | Current | Accepting new patients | |
| Kenneth a. de Luca,PH.D. & Associates, Inc. | Current | 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.
-
- Psychologist
- North Ridgeville, OH
- NPI 1821018698
-
- Community/Behavioral Health Agency
- Holland, OH
- NPI 1104336296
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.