Active NPI
David Walenczyk, LMFT
- Mental Health Counselor
- Norwalk, CT
National Provider Identifier
1588935357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 000620
- Practice address
- 20 N Main St
3Rd Floor
Norwalk, CT 06854-2656 - Phone
- (203) 838-6508
- Fax
- (203) 852-7021
- NPI assigned
- Jan 25, 2012
- Last updated
- Dec 22, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000620 | CT | |
| Mental Health Counselor | 101YM0800X | 000620 | CT | Primary |
Addresses
Primary practice location
20 N Main St
3Rd Floor
Norwalk, CT 06854-2656
Mailing address
20 N Main St
3Rd Floor
Norwalk, CT 06854-2656
Phone (203) 838-6508
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 |
|---|---|---|---|
| 000620 | CT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1588935357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 N MAIN ST",
"address_2": "3RD FLOOR",
"city": "NORWALK",
"state": "CT",
"postal_code": "068542656",
"telephone_number": "203-838-6508",
"fax_number": "203-852-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 N MAIN ST",
"address_2": "3RD FLOOR",
"city": "NORWALK",
"state": "CT",
"postal_code": "068542656",
"telephone_number": "203-838-6508",
"fax_number": "203-852-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALENCZYK",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-25",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "000620",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "000620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
- Sandra K. Wainwright, MD
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3547)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2954)
- Hope Walden, AGACNP-BC
- Christine Eileen Waldron, DO
- Walgreen Co (Rite Aid #18345)
- Walgreen Co (Walgreens #10058)
- Walgreen Co (Walgreens #10177)
- Walgreen Co (Walgreens #06308)
- Walgreen Co (Rite Aid)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.