Active NPI
Elizabeth May Rettig, LPCC
- Professional Counselor
- Defiance, OH
National Provider Identifier
1750441507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E4403
- Practice address
- 1450 S Clinton St
Defiance, OH 43512-3243 - Phone
- (419) 784-3393
- Fax
- (419) 784-3393
- NPI assigned
- Dec 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E4403 | OH | Primary |
Addresses
Primary practice location
1450 S Clinton St
Defiance, OH 43512-3243
Mailing address
1450 S Clinton St
Defiance, OH 43512-3243
Phone (419) 784-3393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4403 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1750441507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 S CLINTON ST",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435123243",
"telephone_number": "419-784-3393",
"fax_number": "419-784-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 S CLINTON ST",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435123243",
"telephone_number": "419-784-3393",
"fax_number": "419-784-3393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETTIG",
"first_name": "ELIZABETH",
"middle_name": "MAY",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E4403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Defiance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.