Active NPI
Cynthia Wadysz, LPC, PC, C.HT.
- Counselor
- Sylvania, OH
National Provider Identifier
1134473424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401013381
- Practice address
- 5758 Main St
Suite 3
Sylvania, OH 43560-1990 - Phone
- (734) 625-0011
- NPI assigned
- Nov 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.1100230 | OH | |
| Counselor | 101Y00000X | 6401013381 | MI | Primary |
Addresses
Primary practice location
5758 Main St
Suite 3
Sylvania, OH 43560-1990
Mailing address
14765 Ida West Rd
Petersburg, MI 49270-9506
Phone (734) 625-0011
Other practice location 1
325 S Main St
Adrian, MI 49221-2696
Phone (734) 625-0011
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013381 | MI | MD | Counselor |
| C.1100230 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1134473424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14765 IDA WEST RD",
"city": "PETERSBURG",
"state": "MI",
"postal_code": "492709506",
"telephone_number": "734-625-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5758 MAIN ST",
"address_2": "SUITE 3",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435601990",
"telephone_number": "734-625-0011"
}
],
"practiceLocations": [
{
"address_1": "325 S Main St",
"address_purpose": "LOCATION",
"city": "Adrian",
"state": "MI",
"postal_code": "492212696",
"country_code": "US",
"telephone_number": "734-625-0011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WADYSZ",
"first_name": "CYNTHIA",
"credential": "LPC, PC, C.HT.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-08",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.1100230",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401013381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.