Mindy K. Waechter, NM LPCC AND OH LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C-0007737 Issued in OH

Practice address

4735 Belpar St NW
Canton, OH 44718-3648

Phone

(330) 493-9822

NPI assigned

Nov 15, 2006

Last updated

Jan 2, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Horizons Psychiatric Counseling and Pain Management Services LLC

  dba Ikemefuna Nkanginieme MD

  • Psychiatry Physician
  • Canton, OH
  • NPI 1861597148
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1235202730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 CLEARMOUNT AVE SE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447203704",
            "telephone_number": "330-499-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 BELPAR ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183648",
            "telephone_number": "330-493-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAECHTER",
        "first_name": "MINDY",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "NM LPCC AND OH LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C-0007737",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "3186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Vretas, DO
• Todd M Wachtel, PRS, CDCA
• Laura Michelle Wackerly
• Andrew Wade, LPC
• Melissa Wadlington
• Lauren Waggoner, RBT
• Beth Wagner, PTA
• Hope M Wagner
• Jayson Wagner, DPT
• Autumn Wagoner, LISW

• Mental Health Counselor in Canton, OH
• Providers in Canton, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.