Wesley Kyser, LISW-S, LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1500096 Issued in OH

Practice address

2 Smith Ave
Mansfield, OH 44905-2855

Phone

(419) 982-2400

NPI assigned

Jun 1, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Essence Center for Well-Being

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mansfield, OH
  • NPI 1821520768
  NPD Authorized official
• New Directions Eap Inc.

  • Counselor
  • Mansfield, OH
  • NPI 1295887222
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1013397595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 SEQUOIA LN",
            "city": "LEXINGTON",
            "state": "OH",
            "postal_code": "449041730",
            "telephone_number": "419-982-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SMITH AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052855",
            "telephone_number": "419-982-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 S Trimble Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449063427",
            "country_code": "US",
            "telephone_number": "419-529-4602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYSER",
        "first_name": "WESLEY",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161365",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1500096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn M. Kuhn
• Amanda Kulka, M.A., CCC-SLP
• Ashley Kullman
• Kristin M. Kurtz
• H Joseph Kurtzman, DPM
• Lab One of Ohio Inc
• Nancy Labaki, MA, CCC-SLP
• Marissa Catherine Lacey, PA
• Chandra Lachendro
• Julie S. Lachmann, LSW

• Clinical Social Worker in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.