1689693400 NPI number — MARIA ANN SELLERS LPCC

Table of content: JASMINE MCCOY LICSW (NPI 1174448898)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689693400 NPI number — MARIA ANN SELLERS LPCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SELLERS
Provider First Name:
MARIA
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CAROCCI
Provider Other First Name:
MARIA
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MARIA SELLERS DPM
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1689693400
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/28/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
441 SNOW TRAIL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FINDLAY
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45840-8603
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-348-9829
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
441 SNOW TRAIL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FINDLAY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45840-8603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-348-9829
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/19/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  36043587 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: E.2606028 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0147924 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000139907 . This is a "ANTHEMBCBS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".