Margo Louise Tillstrom

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S.2202359-TRNE Issued in OH

Practice address

1301 N High St
Columbus, OH 43201-2460

Phone

(614) 299-6600

NPI assigned

Apr 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holistic Wellness Solutions LLCGroup PAC ID 6002243755, 10 clinicians

Kelli Skaggs LCSW LLCGroup PAC ID 5193253722, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Holistic Wellness Solutions LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1063932119
  Medicare reassignment Care Compare group NPD
• Kelli Skaggs LCSW LLC

  dba The Relatable Therapists

  • Clinical Social Worker
  • Sarasota, FL
  • NPI 1043033327

  OH

  Medicare reassignment Care Compare group NPD
• Holistic Wellness Solutions LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1588261929
  NPD

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1558003012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NEIL AVE APT 204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013804",
            "telephone_number": "440-668-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012460",
            "telephone_number": "614-299-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLSTROM",
        "first_name": "MARGO",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.2202359-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan W Tillman, MD
• Leslie Tillman
• Rachel Annemarie Tillman, MD
• Terra Tillman
• Alexis Tillotson
• Shaun Russell Tilton, LPCC-S, LICDC
• Diane Tilus, CNS
• Christopher John Timan, MD
• Ian Christopher Timan
• Susan Timan, CNS

• Mental Health Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.

Verify at the official NPI Registry.