John Caldwell, LPCC – Mental Health Counselor

Key facts

NPI: 1609855691
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: E-0000231 (OH)
Practice address: 1510 S Conwell Ave
Willard, OH 44890-9448
Phone: (419) 964-5700
Fax: (419) 933-7822
NPI assigned: Jan 10, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Mercy Health - Willard Hospital LLC Cardiovascular Disease Physician · Willard, OH · NPI 1265605240

NPD (past)

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
E-0000231	OH	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Mercy Health - Willard Hospital LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	E-0000231	OH	Yes

Addresses

Primary practice location

1510 S Conwell Ave
Willard, OH 44890-9448

Mailing address

2200 Jefferson Ave
4TH Floor
Toledo, OH 43624-1120
Phone (419) 251-8983

Other identifiers

Identifier	Type	State	Issuer
NO PROVIDER NUMBERS	Other	OH	NO PROVIDER NUMBERS

Other providers in Willard, OH

All providers in Willard, OH · Mental Health Counselor in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.

Verify at the official NPI Registry.