Individual provider Active NPI

Timothy H Warneka, LPCC

  • Mental Health Counselor
  • Wickliffe, OH
National Provider Identifier
1033329537
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E-0002029 Issued in OH
Practice address
30021 Miller Ave
Wickliffe, OH 44092-1247
Phone
(440) 944-4746
Fax
(425) 944-4743
NPI assigned
May 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E-0002029 OH Primary

Addresses

Primary practice location

30021 Miller Ave
Wickliffe, OH 44092-1247

Mailing address

30021 Miller Ave
Wickliffe, OH 44092-1247
Phone (440) 944-4746

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

State licenses

LicenseStateTypeSpecialty
E-0002029OHMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: pbc.timothywarneka@140094.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033329537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30021 MILLER AVE",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440921247",
            "telephone_number": "440-944-4746",
            "fax_number": "425-944-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30021 MILLER AVE",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440921247",
            "telephone_number": "440-944-4746",
            "fax_number": "425-944-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNEKA",
        "first_name": "TIMOTHY",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E-0002029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickliffe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.