Organization Active NPI

Self-Esteam

  • Community/Behavioral Health Agency
  • Toledo, OH
National Provider Identifier
1558291336
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SELF-ESTEAM
Practice address
305 Wenz Rd
Toledo, OH 43615-6244
Phone
(419) 377-5693
NPI assigned
May 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Sadora Montgomery
Title
Director
Phone
(419) 377-5693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

305 Wenz Rd
Toledo, OH 43615-6244

Mailing address

4285 Keygate Dr Apt 306
Toledo, OH 43614-4890
Phone (419) 377-5693

National Provider Directory

National Provider Directory

Locations

305 Wenz Rd
Toledo, OH 43615
Phone (419) 377-5693

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1558291336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4285 KEYGATE DR APT 306",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436144890",
            "telephone_number": "419-377-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WENZ RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156244",
            "telephone_number": "419-377-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-ESTEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "SADORA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-377-5693"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.