Individual provider Active NPI

Judith Wymer

  • Professional Counselor
  • Lancaster, OH
National Provider Identifier
1104273887
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0900579 Issued in OH
Practice address
117 W Main St Ste 205
Lancaster, OH 43130-3799
Phone
(407) 422-9350
NPI assigned
May 23, 2016
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.0900579 OH Primary

Addresses

Primary practice location

117 W Main St Ste 205
Lancaster, OH 43130-3799

Mailing address

117 W Main St Ste 205
Lancaster, OH 43130-3799
Phone (407) 422-9350

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.0900579OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Well Balanced Counseling, LLC Professional CurrentSince Feb 23, 2020 Accepting new patients

Locations

117 W Main St
Ste 205
Lancaster, OH 43130
Phone (407) 422-9350

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1104273887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST STE 205",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303799",
            "telephone_number": "407-422-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST STE 205",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303799",
            "telephone_number": "407-422-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMER",
        "first_name": "JUDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0900579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.