Robin L Waltenberger, RDN LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

900303 Issued in OH

Practice address

140 Wadsworth Rd
Wadsworth, OH 44281-9503

Phone

(330) 730-7353

Fax

(330) 334-2235

NPI assigned

Apr 10, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Robin Waltenberger Professional name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Connection of Wadsworth IV, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wadsworth, OH
  • NPI 1942859376
  NPD Authorized official

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1497198329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CENTER ST",
            "city": "SEVILLE",
            "state": "OH",
            "postal_code": "442739504",
            "telephone_number": "330-769-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WADSWORTH RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819503",
            "telephone_number": "330-730-7353",
            "fax_number": "330-334-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTENBERGER",
        "first_name": "ROBIN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "RDN LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "900303",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "OH",
            "license": "LD 4757",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD 4757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "WALTENBERGER",
            "prefix": "MS.",
            "credential": "RDN LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wadsworth Rittman Hospital Professional Service Corporation
• Tiffany A Wagar, AU.D.
• Wal-Mart Storees East, LP
• Wal-Mart Stores East LP
• Chelsea Walker
• Chelsea Walton, LPCC MFT
• Ward Comprehensive Health Care LLC
• Zachary Ward
• Jeff Thomas Warner, DDS
• Michelle Ann Watkins-Malek, LPCC

• Professional Counselor in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.