Individual provider Active NPI

Courtney Wetzel, LPCC-S

  • Mental Health Counselor
  • Centerville, OH
National Provider Identifier
1649523028
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0800254-SUPV Issued in OH
Practice address
5818 Wilmington Pike # 241
Centerville, OH 45459-7004
Phone
(513) 438-1597
Fax
(888) 350-0219
NPI assigned
Oct 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.0800254-SUPV OH Primary

Addresses

Primary practice location

5818 Wilmington Pike # 241
Centerville, OH 45459-7004

Mailing address

5818 Wilmington Pike # 241
Centerville, OH 45459-7004
Phone (513) 438-1597

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Heart Therapy LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
New Creation Counseling Inc PastSince Oct 1, 2023 Accepting new patients
New Creation Counseling Center Counselor PastSince Oct 1, 2023 Accepting new patients
TCN Behavioral Health Services, Inc. Mental Health Past Accepting new patients

Locations

5818 Wilmington Pike
Dayton, OH 45459
Phone (513) 438-1597

Organizations & group practices 4

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": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1649523028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5818 WILMINGTON PIKE # 241",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597004",
            "telephone_number": "513-438-1597",
            "fax_number": "888-350-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 WILMINGTON PIKE # 241",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597004",
            "telephone_number": "513-438-1597",
            "fax_number": "888-350-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "COURTNEY",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0800254-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.