Fireweed Child & Adolescent Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FIREWEED CHILD & ADOLESCENT COUNSELING, LLC

Practice address

1351 S Reynolds Rd Ste B
Toledo, OH 43615-7411

Phone

(419) 280-2165

Fax

(419) 715-7067

NPI assigned

Oct 10, 2019

Last updated

Apr 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alyssa Christine Anderson, MA, LPCC

Title

Owner

Phone

(419) 280-2165

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1770125791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 S REYNOLDS RD STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157411",
            "telephone_number": "419-280-2165",
            "fax_number": "419-715-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 S REYNOLDS RD STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157411",
            "telephone_number": "419-280-2165",
            "fax_number": "419-715-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREWEED CHILD & ADOLESCENT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-280-2165",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273324",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gheinar Finn, CDCA
• Daniel Finnegan
• Jennifer Finnell, CRNA
• Trista Fintel, LSW
• Ramla Fiqi
• Tina M Firsdon, NP
• First Call Medical Equipment, LLC
• First Choice Health Care Services, Inc
• First Choice Home Health Ohio, Inc
• First Class Home Health Care, LLC

• Professional Counselor in Toledo, OH
• Providers in Toledo, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.