Malorie Nichole Wenzel, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S.1100254 Issued in OH

Practice address

6 Public SQ
Galion, OH 44833-1926

Phone

(567) 560-3583

Fax

(419) 777-7912

NPI assigned

Apr 28, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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.

• Family Life Counseling & Psychiatric Services

  • Mental Health Counselor
  • Mansfield, OH
  • NPI 1598862641
  NPD (past)
• Family Life Counseling & Psychiatric Services

  • Addiction (Substance Use Disorder) Counselor
  • Mansfield, OH
  • NPI 1669731246
  NPD (past)

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1376998211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032223",
            "telephone_number": "419-774-9969",
            "fax_number": "419-756-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PUBLIC SQ",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448331926",
            "telephone_number": "567-560-3583",
            "fax_number": "419-777-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZEL",
        "first_name": "MALORIE",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.1100254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plinio E Velandia, MD
• Christina Hickle Walker, O.D.
• Jaree E Ward, LPCC
• Benjamin Wendt, MD
• Alexis Erin Wenger
• Whythorne Professional Services, Inc.
• Amanda Widman, M.S. CCC-SLP
• William T. Hemingway (Growing Opportunities)
• Christina Angelee Williams, STNA
• Robert R Wisner Jr., PA C

• Mental Health Counselor in Galion, OH
• Providers in Galion, 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 Apr 28, 2016; 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.