Organization Active NPI

Withinsight Counseling and Hypnotherapy

  • Professional Counselor
  • Toledo, OH
National Provider Identifier
1790159093
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WITHINSIGHT COUNSELING AND HYPNOTHERAPY
Practice address
3950 Sunforest CT FL 2
Toledo, OH 43623-4485
Phone
(419) 450-2170
Fax
(419) 406-4590
NPI assigned
Nov 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Vikki Renee Gardner, LPCC-SNPI 1104855774
Title
Owner
Phone
(734) 678-5869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X #E3755 OH
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

3950 Sunforest CT FL 2
Toledo, OH 43623-4485

Mailing address

5807 Hampshire LN
Ypsilanti, MI 48197-3206
Phone (419) 450-2170

Other practice location 1

5807 Hampshire Ln
Ypsilanti, MI 48197-3206
Phone (419) 450-2170

Other identifiers 3

IdentifierTypeStateIssuer
0309842MedicaidOH
1236565-0002OtherOHBWC
702401OtherOHAETNA

National Provider Directory

National Provider Directory

Locations

5800 Monroe St
Bldg B
Sylvania, OH 43560
Phone (419) 885-1156

5800 Monroe St
Ste 4
Sylvania, OH 43560

3950 Sunforest Ct
Fl 2
Toledo, OH 43623
Phone (419) 367-6582

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1790159093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 HAMPSHIRE LN",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973206",
            "telephone_number": "419-450-2170",
            "fax_number": "419-406-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 SUNFOREST CT FL 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234485",
            "telephone_number": "419-450-2170",
            "fax_number": "419-406-4590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5807 Hampshire Ln",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481973206",
            "country_code": "US",
            "telephone_number": "419-450-2170",
            "fax_number": "419-406-4590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WITHINSIGHT COUNSELING AND HYPNOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "VIKKI",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-678-5869",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "#E3755",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0309842",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "1236565-0002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "702401",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.