Organization Active NPI

Wink of Hope Counseling, LLC

  • Mental Health Counselor
  • Kettering, OH
National Provider Identifier
1144935685
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WINK OF HOPE COUNSELING, LLC
Practice address
5600 Kentshire Dr Ste 101
Kettering, OH 45440-2963
Phone
(937) 234-7830
Fax
(937) 999-4216
NPI assigned
Jan 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Ammy L Nienaber, MA LPCCNPI 1255878195
Title
Therapist/Owner
Phone
(937) 234-7830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5600 Kentshire Dr Ste 101
Kettering, OH 45440-2963

Mailing address

5600 Kentshire Dr Ste 101
Kettering, OH 45440-2963
Phone (937) 234-7830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240328001686 OH Part B Supplier - Clinic/Group Practice 8729425574 Receives reassigned benefits from 1 practitioner
Practice locations: Centerville, OH

National Provider Directory

National Provider Directory

Locations

5600 Kentshire Dr
Ste 101
Dayton, OH 45440
Phone (937) 234-7830

77 W Elmwood Dr
Ste 213
Dayton, OH 45459
Phone (937) 234-7830

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1144935685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 KENTSHIRE DR STE 101",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454402963",
            "telephone_number": "937-234-7830",
            "fax_number": "937-999-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 KENTSHIRE DR STE 101",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454402963",
            "telephone_number": "937-234-7830",
            "fax_number": "937-999-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINK OF HOPE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "NIENABER",
        "authorized_official_first_name": "AMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "937-234-7830",
        "authorized_official_credential": "MA LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.