Individual provider Active NPI

Wesley Holmes Konesky, M. ED, ED. S

  • Psychologist
  • Sylvania, OH
National Provider Identifier
1013524669
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SP00660 Issued in OH
Practice address
5600 Monroe St Ste 103B
Sylvania, OH 43560-2795
Phone
(419) 885-5952
Fax
(419) 885-7630
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SP00660 OH
Psychologist 103T00000X SP00660 OH Primary

Addresses

Primary practice location

5600 Monroe St Ste 103B
Sylvania, OH 43560-2795

Mailing address

1649 Saint George Cir
Bowling Green, OH 43402-5234
Phone (419) 494-6656

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)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
SP00660OHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Solutions in Brief Therapy, Inc. Psychologist CurrentSince Oct 4, 2020 Accepting new patients
Diana L Theiss PHD Past Accepting new patients

Locations

5600 Monroe St
Ste 103B
Sylvania, OH 43560
Phone (419) 885-5922

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1013524669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 SAINT GEORGE CIR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434025234",
            "telephone_number": "419-494-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 MONROE ST STE 103B",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602795",
            "telephone_number": "419-885-5952",
            "fax_number": "419-885-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONESKY",
        "first_name": "WESLEY",
        "middle_name": "HOLMES",
        "name_prefix": "Mrs.",
        "credential": "M. ED, ED. S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP00660",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "SP00660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.