Organization Active NPI

Premier Consulting Toledo LLC

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1659077121
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PREMIER CONSULTING TOLEDO LLC
Practice address
701 Jefferson Ave Ste 203
Toledo, OH 43604-6957
Phone
(707) 391-1752
NPI assigned
Feb 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Shay Elletha Bankston, LISW
Title
Owner
Phone
(707) 391-1752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

701 Jefferson Ave Ste 203
Toledo, OH 43604-6957

Mailing address

2308 Robinwood Ave Apt 1
Toledo, OH 43620-1024

National Provider Directory

National Provider Directory

Locations

626 Madison Ave
Ste 700
Toledo, OH 43604

701 Jefferson Ave
Ste 203
Toledo, OH 43604
Phone (707) 391-1752

Practitioners & affiliated clinicians

Practitioners 1

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": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1659077121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 ROBINWOOD AVE APT 1",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 JEFFERSON AVE STE 203",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436046957",
            "telephone_number": "707-391-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CONSULTING TOLEDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "BANKSTON",
        "authorized_official_first_name": "SHAY",
        "authorized_official_middle_name": "ELLETHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-391-1752",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 6, 2023; 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.