Organization Active NPI

Perrysburg Counseling Services, LLC

  • Mental Health Counselor
  • Perrysburg, OH
National Provider Identifier
1679822829
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0900398 Issued in OH
Legal business name
PERRYSBURG COUNSELING SERVICES, LLC
Practice address
26471 Southpoint Rd
Perrysburg, OH 43551-1371
Phone
(419) 482-8382
NPI assigned
Sep 4, 2012
Last updated
Sep 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Mr. Derek Joshua Lee, MRC, CRC, LPCCNPI 1356636070
Title
Member
Phone
(419) 482-8382

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.0900398 OH Primary

Addresses

Primary practice location

26471 Southpoint Rd
Perrysburg, OH 43551-1371

Mailing address

26494 Laurel LN
Perrysburg, OH 43551-5484
Phone (419) 482-8382

National Provider Directory

National Provider Directory

Locations

26471 Southpoint Rd
Perrysburg, OH 43551
Phone (419) 482-8382

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1679822829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26494 LAUREL LN",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515484",
            "telephone_number": "419-482-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26471 SOUTHPOINT RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511371",
            "telephone_number": "419-482-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRYSBURG COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "419-482-8382",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MRC, CRC, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0900398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.