Individual provider Active NPI

William Vandyke, Jr., LCDCII, AND QMHSIII

  • Addiction (Substance Use Disorder) Counselor
  • Akron, OH
National Provider Identifier
1558856203
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCDCII.162261 Issued in OH
Practice address
1735 S Hawkins Ave
Akron, OH 44320
Phone
(330) 867-5400
Fax
(330) 869-8263
NPI assigned
Jun 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OH
Case Manager/Care Coordinator 171M00000X
Prevention Professional 405300000X 3995 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X LCDCII.162261 OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 060271 OH

Addresses

Primary practice location

1735 S Hawkins Ave
Akron, OH 44320

Mailing address

1735 S Hawkins Ave
Akron, OH 44320-3902
Phone (330) 867-5400

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

LicenseStateTypeSpecialty
060271OHMDAddiction (Substance Use Disorder) Counselor
3995OHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1558856203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 S HAWKINS AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443203902",
            "telephone_number": "330-867-5400",
            "fax_number": "330-869-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 S HAWKINS AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44320",
            "telephone_number": "330-867-5400",
            "fax_number": "330-869-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKE, JR.",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LCDCII, AND QMHSIII",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "OH",
            "license": "3995",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCII.162261",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "060271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.

Verify at the official NPI Registry.