Sound Mind Behavioral Wellness

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUND MIND BEHAVIORAL WELLNESS

Practice address

5726 Southwyck Blvd Ste 200
Toledo, OH 43614-1510

Phone

(419) 214-1766

Fax

(419) 214-1792

NPI assigned

Mar 20, 2020

Organization subpart

No

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

Authorized official

Name

Michelle Lakiesha WilliamsNPI 1679109797

Title

Ceo

Phone

(419) 214-1766

Specialties & licenses 1

Addresses

Other identifiers 6

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Lakiesha Williams, M.ED, MSW, LISW

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1679109797
  Medicare reassignment NPD Authorized official
• Michael Kimball, PSY.D.

  • Clinical Psychologist
  • Toledo, OH
  • NPI 1316375595
  Medicare reassignment
• Dashawn Coleman

  • Case Manager/Care Coordinator
  • Toledo, OH
  • NPI 1457988958
  NPD
• Tehran Dixon

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1861094369
  NPD
• Heather Eikenburg, LSW

  • Mental Health Counselor
  • Toledo, OH
  • NPI 1891323747
  NPD
• Deloise President

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1912509415
  NPD
• Abena Rowland

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1629670039
  NPD
• Winda Birt, MA

  • Behavior Technician
  • Toledo, OH
  • NPI 1871283275
  NPD (past)
• Victoria Jenne

  • Case Manager/Care Coordinator
  • Ypsilanti, MI
  • NPI 1689382632
  NPD (past)
• Rickey Lavar Shuler, PSY.D.

  • Psychologist
  • Canton, MI
  • NPI 1730816141
  NPD (past)

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1043846165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 SOUTHWYCK BLVD STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141510",
            "telephone_number": "419-214-1766",
            "fax_number": "419-214-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 SOUTHWYCK BLVD STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141510",
            "telephone_number": "419-214-1766",
            "fax_number": "419-214-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND MIND BEHAVIORAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LAKIESHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-214-1766"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444405",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315327",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MENTAL HEALTH & ADDICTION SERVICES",
            "identifier": "01-8165",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0294590",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0178465",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406325",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@soundmindbehavioral.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5726 Southwyck Blvd Ste 200",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436141510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Olga Soto, MRC, LICDC
• Omar Soudan, MBBS
• Barbara A Soullier, MNT
• Sound Hearing II (Beltone)
• Sound Hearing II Inc. (Beltone Hearing Center)
• Sound Mind Behavioral Wellness, LLC
• South Toledo Physical Therapy, LLC
• Sharyl South, RN
• Aniah Southall
• Erik Oliver Southard

• Community/Behavioral Health Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.