Active NPI
Melissa Ann Schaller, LPCC-S, LSW
- Counselor
- Toledo, OH
National Provider Identifier
1801169743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E. 0008437
- Practice address
- 6715 Dorr St
Toledo, OH 43615-4207 - Phone
- (419) 868-1178
- Fax
- (419) 868-1989
- NPI assigned
- Feb 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | E. 0008437 | OH | Primary |
| Social Worker | 104100000X | S. 0027132 | OH |
Addresses
Primary practice location
6715 Dorr St
Toledo, OH 43615-4207
Mailing address
PO Box 400
Holland, OH 43528-0400
Phone (419) 868-1178
Other names 1
- Mrs. Melissa Ann Baumgartner
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 |
|---|---|---|---|
| E. 0008437 | OH | MD | Counselor |
| S. 0027132 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Teaching Homes, Inc. | Past | Accepting new patients | |
| Community Teaching Homes, Inc. | Past | 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.
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1306015813
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1528563079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1801169743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435280400",
"telephone_number": "419-868-1178",
"fax_number": "419-868-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6715 DORR ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436154207",
"telephone_number": "419-868-1178",
"fax_number": "419-868-1989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHALLER",
"first_name": "MELISSA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LPCC-S, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-22",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E. 0008437",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S. 0027132",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "BAUMGARTNER",
"middle_name": "ANN",
"prefix": "MRS.",
"credential": "PCC, LSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.