John A Anzo, LPC
Individual provider Active NPI Counselor · Wooster, OH
NPI 1568136992 · NPPES record last updated Jun 20, 2024
Key facts
- NPI
- 1568136992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- C.2406190 (OH)
- Practice address
- 2000 Noble Dr
Wooster, OH 44691-5353 - Phone
- (330) 264-3232
- NPI assigned
- Aug 9, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2304991-TRNE | OH | MD | Counselor |
| C.2406190 | OH | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.2304991-TRNE | OH | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | C.2406190 | OH | Yes |
Addresses
Primary practice location
2000 Noble Dr
Wooster, OH 44691-5353
Mailing address
2000 Noble Dr
Wooster, OH 44691-5353
Phone (330) 264-3232
Other practice location 1
17606 Coshocton Rd
Mount Vernon, OH 43050-9218
Phone (740) 397-7568
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.