Active NPI
Casey Joseph Szczublewski
- Professional Counselor
- Perrysburg, OH
National Provider Identifier
1841035573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2405979
- Practice address
- 27511 Holiday LN
Perrysburg, OH 43551-5397 - Phone
- (419) 491-4662
- NPI assigned
- Jun 25, 2024
- Sex
- Male
- 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 | C.2405979 | OH | Primary |
Addresses
Primary practice location
27511 Holiday LN
Perrysburg, OH 43551-5397
Mailing address
146 Pheasant Dr
Perrysburg, OH 43551-2552
Phone (419) 346-5081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2405979 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1841035573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 PHEASANT DR",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435512552",
"telephone_number": "419-346-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27511 HOLIDAY LN",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435515397",
"telephone_number": "419-491-4662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZCZUBLEWSKI",
"first_name": "CASEY",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2405979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.