Thelma E Esterline, LPCC in Bryan, OH - Medicare Counselor Provider

Thelma E Esterline, LPCC is a medicare enrolled "Counselor" provider in Bryan, Ohio. Her current practice location is 120 W High St, Bryan, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 439-5544.

Thelma E Esterline is licensed to practice in Ohio (license number E.2102121-SUPV) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053809228.

Contact Information

	Thelma E Esterline, LPCC
	120 W High St, Bryan, OH 43506-1395
	(419) 439-5544
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Thelma E Esterline
Gender	Female
Speciality	Counselor
Location	120 W High St, Bryan, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053809228
Provider Enumeration Date: 04/24/2018
Last Update Date: 09/10/2025

Medicare PECOS Information:

PECOS PAC ID: 9032556188
Enrollment ID: I20240325002172

Medical Identifiers

Medical identifiers for Thelma E Esterline such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053809228	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	39005603A (Indiana)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	LICDC.162142 (Ohio)	Secondary
101Y00000X	Counselor	E.2102121-SUPV (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thelma E Esterline allows following entities to bill medicare on her behalf.

Entity Name	Maumee Valley Guidance Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033189642 PECOS PAC ID: 0547293003 Enrollment ID: O20050914001344

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thelma E Esterline is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Thelma E Esterline, LPCC 120 W High St, Bryan, OH 43506-1395 Ph: (419) 439-5544	Thelma E Esterline, LPCC 120 W High St, Bryan, OH 43506-1395 Ph: (419) 439-5544

Reviews and Comments

Counselor in Bryan, OH

Michael L Freeman, LPCC, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100
Meghan Ann Simpson, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 516 E High St, Bryan, OH 43506 Phone: 419-633-0705
Roger Dean Carlson, M.A., L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 S Portland St, Bryan, OH 43506 Phone: 419-636-1513
Elizabeth Lay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1254 S Main St, Bryan, OH 43506 Phone: 440-260-6835
Ms. Tammy Cupp, LPCC, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100
Shelly Mae Johnson, L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 S Beech St, Bryan, OH 43506 Phone: 419-212-5938 Fax: 419-784-2255

Thelma E Esterline, LPCC - Medicare Counselor in Bryan, OH