Active NPI
David Leslie Wirt, M.ED., LPCC
- Professional Counselor
- Grove City, OH
National Provider Identifier
1497739239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0003044
- Practice address
- 3796 Broadway
Grove City, OH 43123-2235 - Phone
- (614) 871-0035
- Fax
- (614) 539-0069
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0003044 | OH | Primary |
Addresses
Primary practice location
3796 Broadway
Grove City, OH 43123-2235
Mailing address
3796 Broadway
Grove City, OH 43123-2235
Phone (614) 871-0035
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0003044 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grove City Psychological Services LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1497739239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3796 BROADWAY",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431232235",
"telephone_number": "614-871-0035",
"fax_number": "614-539-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3796 BROADWAY",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431232235",
"telephone_number": "614-871-0035",
"fax_number": "614-539-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRT",
"first_name": "DAVID",
"middle_name": "LESLIE",
"credential": "M.ED., LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0003044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.