Active NPI
Wesley Holmes Konesky, M. ED, ED. S
- Psychologist
- Sylvania, OH
National Provider Identifier
1013524669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- SP00660
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP00660 | OH | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Solutions in Brief Therapy, Inc. | Psychologist | Current | 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.
-
- Mental Health Counselor
- Sylvania, OH
- NPI 1124345152
Psychologist
-
- Clinical Social Worker
- Sylvania, OH
- NPI 1396250338
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.