Active NPI
Amanda Wozniak, LPC
- Professional Counselor
- Brookpark, OH
National Provider Identifier
1447062872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2506738
- Practice address
- 15887 Snow Rd Ste 301
Brookpark, OH 44142-2854 - Phone
- (216) 714-3128
- NPI assigned
- Jan 22, 2025
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.188909 | OH | |
| Professional Counselor | 101YP2500X | C.2506738 | OH | Primary |
Addresses
Primary practice location
15887 Snow Rd Ste 301
Brookpark, OH 44142-2854
Mailing address
5728 Wellesley Ave
North Olmsted, OH 44070-3956
Phone (716) 481-5030
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
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.188909 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| C.2506738 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1447062872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5728 WELLESLEY AVE",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440703956",
"telephone_number": "716-481-5030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15887 SNOW RD STE 301",
"city": "BROOKPARK",
"state": "OH",
"postal_code": "441422854",
"telephone_number": "216-714-3128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOZNIAK",
"first_name": "AMANDA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-22",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.188909",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2506738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookpark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.