Individual provider Active NPI

Stephanie Dawn McGuire Wise, LPCC

  • Professional Counselor
  • Bowling Green, OH
National Provider Identifier
1982809521
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E-0003039 Issued in OH
Practice address
221 S Church St
Bowling Green, OH 43402-2816
Phone
(419) 373-6560
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X E-0003039 OH
Professional Counselor 101YP2500X E-0003039 OH Primary

Addresses

Primary practice location

221 S Church St
Bowling Green, OH 43402-2816

Mailing address

2005 Ashland Ave
Toledo, OH 43620-1703
Phone (419) 841-7701

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240118003341 OH Practitioner - Mental Health Counselor 7618329269 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E-0003039OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Counseling & Mental Health LLC CurrentSince Jan 3, 2024 Accepting new patients
Stephanie D McGuire Wise Professional CurrentSince Dec 15, 2025 Accepting new patients

Locations

2221 River Rd
Maumee, OH 43537
Phone (419) 460-4328

3454 Oak Alley Ct
Ste 504
Toledo, OH 43606
Phone (419) 318-8533

4169 N Holland Sylvania Rd
Ste 203
Toledo, OH 43623
Phone (419) 318-8533

Organizations & group practices 2

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1982809521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ASHLAND AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201703",
            "telephone_number": "419-841-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S CHURCH ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022816",
            "telephone_number": "419-373-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE WISE",
        "first_name": "STEPHANIE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "E-0003039",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-0003039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.