Individual provider Active NPI

Katelyn C. Smith, LPC

  • Professional Counselor
  • Toledo, OH
National Provider Identifier
1669938221
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1832 Adams St
Toledo, OH 43604-4428
Phone
(419) 720-9247
NPI assigned
Feb 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2103263 OH
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1832 Adams St
Toledo, OH 43604-4428

Mailing address

885 Commerce Dr
Perrysburg, OH 43551-5267
Phone (419) 330-5122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104003061 OH Practitioner - Mental Health Counselor 9638602287 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health Association of Toledo, IncGroup PAC ID 5698686665, 9 clinicians

Practice addresses (Care Compare)

117 Main St
Toledo, OH 43605-2091
Phone (419) 255-7883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2103263OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Team Recovery Ohio, LLC CurrentSince Apr 21, 2025 Accepting new patients
Team Recovery Ohio, LLC Community/Behavioral Health CurrentSince Apr 21, 2025 Accepting new patients
Ohioguidestone CurrentSince Aug 1, 2024 Accepting new patients
Ohioguidestone Current Accepting new patients
Ohioguidestone Community/Behavioral Health CurrentSince Aug 1, 2024 Accepting new patients
A Renewed Mind Community/Behavioral Health Past Accepting new patients

Locations

434 Eastland Rd
Berea, OH 44017
Phone (440) 260-8327

202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327

885 Commerce Dr
Perrysburg, OH 43551
Phone (419) 330-1050

4888 Whiteford Rd
Toledo, OH 43623
Phone (419) 561-5433

5217 Monroe St
Toledo, OH 43623
Phone (419) 561-5433

1832 Adams St
Toledo, OH 43604
Phone (419) 720-9247

4352 W Sylvania Ave
Toledo, OH 43623
Phone (419) 561-5433

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/theteamrecovery/r4/

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1669938221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 COMMERCE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515267",
            "telephone_number": "419-330-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 ADAMS ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436044428",
            "telephone_number": "419-720-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATELYN",
        "middle_name": "C.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2103263",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.