Active NPI
Katelyn C. Smith, LPC
- Professional Counselor
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| C.2103263 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Recovery Ohio, LLC | Current | Accepting new patients | |
| Team Recovery Ohio, LLC | Community/Behavioral Health | Current | Accepting new patients |
| Ohioguidestone | Current | Accepting new patients | |
| Ohioguidestone | Current | Accepting new patients | |
| Ohioguidestone | Community/Behavioral Health | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1861857732
OH
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Toledo, OH
- NPI 1043863384
OH
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1427170679
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1063533164
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1912330689
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1023462454
-
- Non-Surgical Family Planning Clinic/Center
- Toledo, OH
- NPI 1023670023
-
- Federally Qualified Health Center (FQHC)
- Holland, OH
- NPI 1306225610
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1518089762
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1578364246
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1861054447
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.