Patricia Lynn Dewenter, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6801062496 Issued in MI

Practice address

2875 Union CT SE
Wyoming, MI 49548-1223

Phone

(616) 301-5742

Fax

(616) 457-1087

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639243124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 UNION CT SE",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495481223",
            "telephone_number": "616-301-5742",
            "fax_number": "616-457-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 UNION CT SE",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495481223",
            "telephone_number": "616-301-5742",
            "fax_number": "616-457-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWENTER",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801062496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6801062496",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Taylor Devoogd, PA-C
• Elisha Ann Devries, LMSW
• Nicholas Devries
• Jason Alan Dew, DDS
• Deweese Chiropractic Center P.C.
• James E Dewitt, DPM
• John Duwayne Deyo, DC
• Larry Jose Diaz, MD
• Marisa Irene Diaz, LLMSW
• Daitia Dickens

• Mental Health Counselor in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.