Individual provider Active NPI

Wesley Dylan Tinch

  • Mental Health Counselor
  • Norwalk, OH
National Provider Identifier
1366183030
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2305364-TRNE Issued in OH
Practice address
4 E Seminary St
Norwalk, OH 44857-2121
Phone
(567) 424-6003
Fax
(855) 429-4118
NPI assigned
Apr 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2305364-TRNE OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 184483 OH
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

4 E Seminary St
Norwalk, OH 44857-2121

Mailing address

4 E Seminary St
Norwalk, OH 44857-2121
Phone (567) 424-6003

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

LicenseStateTypeSpecialty
184483OHMDAddiction (Substance Use Disorder) Counselor
C.2305364-TRNEOHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1366183030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E SEMINARY ST",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572121",
            "telephone_number": "567-424-6003",
            "fax_number": "855-429-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E SEMINARY ST",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572121",
            "telephone_number": "567-424-6003",
            "fax_number": "855-429-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINCH",
        "first_name": "WESLEY",
        "middle_name": "DYLAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2305364-TRNE",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "184483",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.