Active NPI
Lori J Worline, M.ED.
- Professional Counselor
- Perrysburg, OH
National Provider Identifier
1912242371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C0900098
- Practice address
- 900 W South Boundary St BLDG 7B
Perrysburg, OH 43551-5244 - Phone
- (419) 724-4233
- Fax
- (877) 622-7635
- NPI assigned
- Dec 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C0900098 | OH | Primary |
Addresses
Primary practice location
900 W South Boundary St BLDG 7B
Perrysburg, OH 43551-5244
Mailing address
900 W South Boundary St BLDG 7B
Perrysburg, OH 43551-5244
Phone (419) 724-4233
Other practice location 1
1045 Klotz Rd
Bowling Green, OH 43402-4820
Phone (419) 352-7588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0900098 | Other | OH | STATE OF OHIO COUNSELOR AND SOCIAL WORKER BOARD, MARRIAGE & FAMILY THERAPIST BD |
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)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0900098 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1912242371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 W SOUTH BOUNDARY ST BLDG 7B",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435515244",
"telephone_number": "419-724-4233",
"fax_number": "877-622-7635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W SOUTH BOUNDARY ST BLDG 7B",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435515244",
"telephone_number": "419-724-4233",
"fax_number": "877-622-7635"
}
],
"practiceLocations": [
{
"address_1": "1045 Klotz Rd",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "OH",
"postal_code": "434024820",
"country_code": "US",
"telephone_number": "419-352-7588",
"fax_number": "419-354-4977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WORLINE",
"first_name": "LORI",
"middle_name": "J",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-11",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C0900098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OHIO COUNSELOR AND SOCIAL WORKER BOARD, MARRIAGE & FAMILY THERAPIST BD",
"identifier": "C0900098",
"state": "OH"
}
],
"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 Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.