Wendy M Pesante, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.181694 Issued in OH

Practice address

4770 Indianola Ave Ste 111
Columbus, OH 43214-1862

Phone

(614) 427-3205

NPI assigned

Sep 8, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Mesmerize Psychiatric Services L.L.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1417641994
  NPD
• Real Psychiatric Services LLC

  • Psychiatry Physician
  • Columbus, OH
  • NPI 1861102105
  NPD

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1982481404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 RAVINE RIDGE DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 INDIANOLA AVE STE 111",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141862",
            "telephone_number": "614-427-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESANTE",
        "first_name": "WENDY",
        "middle_name": "M",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.181694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personic Health Ohio Professional Corporation
• Drew Persson
• Elizabeth Perstin, MD
• Wyatt Austin Pertuset, CT
• Anthony Joseph Perugini III, DO
• Todd E Pesavento, M.D.
• Benjamin W Pester, ATC
• Hayden Petee, LPC
• Peter J. Ahn, D.D.S., LLC
• Conrod O Peterkin, LPN

• Addiction (Substance Use Disorder) Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

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