Organization Active NPI

Good Company Christian Counseling & Life Coaching, LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
National Provider Identifier
1649658725
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1200485 Issued in OH
Legal business name
GOOD COMPANY CHRISTIAN COUNSELING & LIFE COACHING, LLC
Practice address
2475 Collingwood Blvd
Toledo, OH 43620-1186
Phone
(419) 822-7319
Fax
(419) 822-7319
NPI assigned
May 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Rodney Carter Thomas, LISW-SNPI 1760638910
Title
Owner
Phone
(419) 822-7319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X 1200485 OH Primary

Addresses

Primary practice location

2475 Collingwood Blvd
Toledo, OH 43620-1186

Mailing address

2475 Collingwood Blvd
Toledo, OH 43620-1186
Phone (419) 822-7319

Other practice location 1

2525 W Bancroft St
Toledo, OH 43607
Phone (419) 578-2525

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL laptop Health Information Exchange (HIE)
CONNECT URL laptop

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151009000876 OH Part B Supplier - Clinic/Group Practice 6103134267 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

2475 Collingwood Blvd
Toledo, OH 43620
Phone (419) 822-7319

2475 Collingwood Blvd
Ste 207
Toledo, OH 43620
Phone (419) 822-7319

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1649658725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 COLLINGWOOD BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201186",
            "telephone_number": "419-822-7319",
            "fax_number": "419-590-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 COLLINGWOOD BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201186",
            "telephone_number": "419-822-7319",
            "fax_number": "419-822-7319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 W Bancroft St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "43607",
            "country_code": "US",
            "telephone_number": "419-578-2525",
            "fax_number": "419-536-9220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOOD COMPANY CHRISTIAN COUNSELING & LIFE COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-822-7319",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "1200485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2475 Collingwood Blvd",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436201186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "2475 Collingwood Blvd",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436201186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.