Individual provider Active NPI

Alex John Claussen I

  • Mental Health Counselor
  • Toledo, OH
National Provider Identifier
1548747157
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2303272 Issued in OH
Practice address
4293 Monroe St
Toledo, OH 43606-1943
Phone
(419) 474-6021
NPI assigned
Jul 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X C.2002528 OH
Mental Health Counselor 101YM0800X E.2303272 OH Primary
Social Worker 104100000X E.2303272 OH

Addresses

Primary practice location

4293 Monroe St
Toledo, OH 43606-1943

Mailing address

1100 Shawnee Rd
Lima, OH 45805-3583
Phone (419) 999-2010

Other practice location 1

3953 Navarre Ave
Oregon, OH 43616-3437
Phone (419) 698-4521

Other identifiers 1

IdentifierTypeStateIssuer
0311057MedicaidOH

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
I20240325002664 OH Practitioner - Mental Health Counselor 0648617712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encompass Care, Inc.Group PAC ID 2062752595, 7 clinicians
Person to Person Resources, Inc.Group PAC ID 3971973199, 2 clinicians

Practice addresses (Care Compare)

1100 Shawnee Rd
Lima, OH 45805-3529
Phone (419) 999-2010

836 W S Boundary St
Suite a
Perrysburg, OH 43551-5640
Phone (419) 874-3201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2002528OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Care, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Person to Person Resources, Inc. Social Worker CurrentSince Oct 22, 2024 Accepting new patients
Encompass Care, Inc. CurrentSince Mar 1, 2024 Accepting new patients

Locations

1100 Shawnee Rd
Lima, OH 45805
Phone (419) 234-9494

3953 Navarre Ave
Oregon, OH 43616
Phone (419) 698-4521

836 W South Boundary St
Ste A
Perrysburg, OH 43551
Phone (419) 874-3201

4293 Monroe St
Toledo, OH 43606
Phone (419) 464-6021

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1548747157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053583",
            "telephone_number": "419-999-2010",
            "fax_number": "419-999-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4293 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061943",
            "telephone_number": "419-474-6021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3953 Navarre Ave",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436163437",
            "country_code": "US",
            "telephone_number": "419-698-4521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAUSSEN",
        "first_name": "ALEX",
        "middle_name": "JOHN",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "C.2002528",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303272",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "E.2303272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0311057",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.