Active NPI
Maria Wentz, MA, LPCC
- Professional Counselor
- Fairlawn, OH
National Provider Identifier
1386267565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2202955
- Practice address
- 3632 W Market St Ste 103
Fairlawn, OH 44333-2494 - Phone
- (330) 670-8090
- NPI assigned
- May 22, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.2002632 | OH | |
| Professional Counselor | 101YP2500X | E.2202955 | OH | Primary |
Addresses
Primary practice location
3632 W Market St Ste 103
Fairlawn, OH 44333-2494
Mailing address
3632 W Market St Ste 103
Fairlawn, OH 44333-2494
Phone (234) 200-5762
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2002632 | OH | MD | Professional Counselor |
| E.2202955 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1386267565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3632 W MARKET ST STE 103",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443332494",
"telephone_number": "234-200-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3632 W MARKET ST STE 103",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443332494",
"telephone_number": "330-670-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTZ",
"first_name": "MARIA",
"credential": "MA, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-22",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2002632",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2202955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.