Individual provider Active NPI

Marita L Temple, LPC

  • Mental Health Counselor
  • Perrysburg, OH
National Provider Identifier
1619686359
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2204444 Issued in OH
Practice address
1070 Commerce Dr Ste 101
Perrysburg, OH 43551-5231
Phone
(419) 482-8382
NPI assigned
Nov 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2204444 OH Primary

Addresses

Primary practice location

1070 Commerce Dr Ste 101
Perrysburg, OH 43551-5231

Mailing address

6312 W Bancroft St Apt 6
Toledo, OH 43615-3244
Phone (419) 320-3714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C.2204444OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Institute of America Mental Health CurrentSince Feb 18, 2024 Accepting new patients
Premiere Counseling Services, LLC CurrentSince Oct 13, 2024 Accepting new patients

Locations

1070 Commerce Dr
Ste 101
Perrysburg, OH 43551
Phone (419) 461-1983

Organizations & group practices 2

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": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1619686359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 W BANCROFT ST APT 6",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153244",
            "telephone_number": "419-320-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 COMMERCE DR STE 101",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515231",
            "telephone_number": "419-482-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "MARITA",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2204444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

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