Active NPI
Ryan A Wisniewski, PH.D.
- Mental Health Counselor
- Toledo, OH
National Provider Identifier
1104389428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.2505686
- Practice address
- 3454 Oak Alley CT Ste 504
Toledo, OH 43606-1356 - Phone
- (419) 318-8533
- NPI assigned
- Apr 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.2505686 | OH | Primary |
Addresses
Primary practice location
3454 Oak Alley CT Ste 504
Toledo, OH 43606-1356
Mailing address
3454 Oak Alley CT Ste 504
Toledo, OH 43606-1356
Phone (419) 318-8533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3454 Oak Alley CT
Suite 504
Toledo, OH 43606-1356
Phone (419) 318-8533
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.2505686 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toledo Counseling & Mental Health LLC | Mental Health | Current | Accepting new patients |
| Ohioguidestone | Past | Accepting new patients | |
| Pathways Counseling and Growth Center | Past | Accepting new patients | |
| Pathways Counseling and Growth Center | Past | Accepting new patients |
Locations
3454 Oak Alley Ct
Ste 504
Toledo, OH 43606
Phone (419) 318-8533
4169 N Holland Sylvania Rd
Ste 203
Toledo, OH 43623
Phone (419) 318-8533
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pathwayscounselingcenter/r4/
Organizations & group practices 4
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
- Toledo, OH
- NPI 1174007934
-
- Community/Behavioral Health Agency
- Berea, OH
- NPI 1295096758
-
- Community/Behavioral Health Agency
- Elyria, OH
- NPI 1760450837
-
- Community/Behavioral Health Agency
- Grafton, OH
- NPI 1801104799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1104389428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3454 OAK ALLEY CT STE 504",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061356",
"telephone_number": "419-318-8533",
"fax_number": "888-337-1307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3454 OAK ALLEY CT STE 504",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061356",
"telephone_number": "419-318-8533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISNIEWSKI",
"first_name": "RYAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-12",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.2505686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.