Organization Active NPI

Daniel and Wendy Nathan

  • Mental Health Counselor
  • Toledo, OH
National Provider Identifier
1467151191
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DANIEL AND WENDY NATHAN
Doing business as
Daniel and Wendy Nathan
Practice address
3454 Oak Alley CT Ste 400
Toledo, OH 43606-1355
Phone
(419) 377-3057
NPI assigned
Mar 2, 2023
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Ms. Wendy Nathan, LPCC-SNPI 1720400070
Title
Clinical Counselor/Partner
Phone
(419) 377-3057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3454 Oak Alley CT Ste 400
Toledo, OH 43606-1355

Mailing address

2114 Audubon PL
Toledo, OH 43606-3301
Phone (419) 377-3057

Other identifiers 2

IdentifierTypeStateIssuer
0406817MedicaidOH
0287657MedicaidOH

Other names 1

  • Daniel and Wendy Nathan Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250505001455 OH Part B Supplier - Clinic/Group Practice 4688191562 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1467151191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 AUDUBON PL",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063301",
            "telephone_number": "419-377-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 400",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061355",
            "telephone_number": "419-377-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL AND WENDY NATHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR/PARTNER",
        "authorized_official_telephone_number": "419-377-3057",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406817",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0287657",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel and Wendy Nathan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Daniel and Wendy Nathan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.