Individual provider Active NPI

Michele Ann Loesser, PCC

  • Professional Counselor
  • Tiffin, OH
National Provider Identifier
1760529689
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E2987 Issued in OH
Practice address
676 Miami St Ste a
Tiffin, OH 44883-1903
Phone
(567) 220-6495
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E2987 OH Primary

Addresses

Primary practice location

676 Miami St Ste a
Tiffin, OH 44883-1903

Mailing address

711 S Washington St
Tiffin, OH 44883-3316
Phone (419) 447-8111

Other names 1

  • Shelley Loesser Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20240119003308 OH Practitioner - Mental Health Counselor 5193177673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2987OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Counseling Center at First Lutheran Church Professional Past Accepting new patients
Counseling Connections Center LLC PastSince Apr 17, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1760529689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S WASHINGTON ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833316",
            "telephone_number": "419-447-8111",
            "fax_number": "419-447-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 MIAMI ST STE A",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831903",
            "telephone_number": "567-220-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOESSER",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "credential": "PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E2987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "LOESSER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tiffin, OH

Sources for this page

Verify at the official NPI Registry.