Individual provider Active NPI

Ryan A Wisniewski, PH.D.

  • Mental Health Counselor
  • Toledo, OH
National Provider Identifier
1104389428
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2505686 Issued in OH
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

Updated by the provider on Mar 17, 2026

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.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250915003179 OH Practitioner - Mental Health Counselor 2860995735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Toledo Counseling and Mental Health LLCGroup PAC ID 1254736853, 11 clinicians

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

LicenseStateTypeSpecialty
E.2505686OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Counseling & Mental Health LLC Mental Health CurrentSince Sep 3, 2025 Accepting new patients
Ohioguidestone Past Accepting new patients
Pathways Counseling and Growth Center PastSince Oct 28, 2016 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.