Act Counseling Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ACT COUNSELING SERVICES LLC

Practice address

2143 Wagner Trace Dr
Beavercreek, OH 45431-2976

Phone

(210) 667-3191

NPI assigned

Dec 14, 2024

Last updated

Dec 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Antoinette C Tegtmeier, LISW-SNPI 1164055794

Title

Therapist

Phone

(210) 667-3191

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antoinette Tegtmeier, MSW, LCSW

  • Clinical Social Worker
  • Huber Heights, OH
  • NPI 1164055794
  NPD Authorized official

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734134400000",
    "number": "1649087529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340024",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454340024",
            "telephone_number": "210-667-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 WAGNER TRACE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312976",
            "telephone_number": "210-667-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-14",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A",
        "authorized_official_last_name": "TEGTMEIER",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "210-667-3191",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2024; 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.