NPIMap

Organization Active NPI

Maumee Valley Guidance Center Inc

  • Mental Health Counselor
  • Defiance, OH
National Provider Identifier
1760638993
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.0000811 Issued in OH
Legal business name
MAUMEE VALLEY GUIDANCE CENTER INC
Practice address
211 Biede Ave
Defiance, OH 43512-2408
Phone
(419) 782-8856
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Connie Planson, LPCC
Title
Ceo
Phone
(419) 782-8856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X C.0000811 OH Primary

Addresses

Primary practice location

211 Biede Ave
Defiance, OH 43512-2408

Mailing address

211 Biede Ave
Defiance, OH 43512-2408

Other identifiers 1

IdentifierTypeStateIssuer
C.0000811OtherOHLPC LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Maumee Valley Guidance Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

211 Biede Ave
Defiance, OH 43512
Phone (419) 782-8856

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1760638993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BIEDE AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BIEDE AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122408",
            "telephone_number": "419-782-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUMEE VALLEY GUIDANCE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "PLANSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-782-8856",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.0000811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "C.0000811",
            "state": "OH"
        }
    ],
    "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 Dec 16, 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.

Verify at the official NPI Registry.