Individual provider Active NPI

Martha Hensley Wessell

  • Mental Health Counselor
  • Westerville, OH
National Provider Identifier
1104286632
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I.1501231 Issued in OH
Practice address
401 Manila PL
Westerville, OH 43081-3430
Phone
(614) 604-3489
NPI assigned
Feb 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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 I.1501231 OH Primary

Addresses

Primary practice location

401 Manila PL
Westerville, OH 43081-3430

Mailing address

401 Manila PL
Westerville, OH 43081-3430
Phone (614) 604-3489

Other identifiers 1

IdentifierTypeStateIssuer
I.1501231OtherOHOHIO INDEPENDENT SOCIAL WORK LICENSE NUMBER

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
I.1501231OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1104286632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MANILA PL",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813430",
            "telephone_number": "614-604-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MANILA PL",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813430",
            "telephone_number": "614-604-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY WESSELL",
        "first_name": "MARTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.1501231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO INDEPENDENT SOCIAL WORK LICENSE NUMBER",
            "identifier": "I.1501231",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.