Jaymi Lynn Wendt, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1302418 Issued in OH

Practice address

4030 Boardman Canfield Rd
Canfield, OH 44406-9505

Phone

(330) 286-0050

Fax

(330) 286-0055

NPI assigned

Jun 25, 2013

Last updated

Jun 25, 2013By the provider in NPPES

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 names 1

• Jamell Lynn Wendt Other name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Counseling Center of Boardman LLC

  • Mental Health Counselor
  • Boardman, OH
  • NPI 1811665169
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1821438730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 HITCHCOCK RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125842",
            "telephone_number": "330-540-4504",
            "fax_number": "330-797-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 BOARDMAN CANFIELD RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069505",
            "telephone_number": "330-286-0050",
            "fax_number": "330-286-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "JAYMI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1302418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMELL",
            "last_name": "WENDT",
            "middle_name": "LYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebekah Renee Webster, MA, CCC-SLP
• Wee Ones
• Brian Thomas Weibling, D.D.S.
• Wellness Ventures LLC (Marucci Chiropractic & Wellness Center)
• Alexander Welsh
• Collin Wenowitz-Fishel
• Bruce C Weston, DPT
• William Bartels, M.D., Inc.
• William Price MD
• Shawn Douglas Williams, ED.S., NCSP

• Clinical Social Worker in Canfield, OH
• Providers in Canfield, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.