DR. RYAN A WISNIEWSKI PH.D.
NPI 1104389428
Counselor - Mental Health in Toledo, OH

Active since April 12, 2019PECOS Enrolled
3454 OAK ALLEY CT STE 504, TOLEDO, OH 43606(419) 318-8533 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2026, Sep 3, 2025, Apr 12, 2019 (3 updates tracked since 2019).

About Dr. Ryan A Wisniewski Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN A WISNIEWSKI PH.D. (NPI 1104389428) is an individual mental health provider in Toledo, Ohio, licensed in Ohio (E.2505686) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104389428
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. RYAN A WISNIEWSKICredential: PH.D.
Location Address3454 OAK ALLEY CT STE 504Toledo, OH 43606-1356
Mailing Address3454 Oak Alley Ct Ste 504Toledo, OH 43606-1356 · (419) 318-8533 · Fax (888) 337-1307
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 12, 2019
Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1104389428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · E.2505686
3454 OAK ALLEY CT STE 504, Toledo, OH 43606

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan A Wisniewski Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860995735
PECOS Enrollment IDI20250915003179
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ryan Wisniewski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
3454 OAK ALLEY CT STE 504
Toledo, OH 43606
  • Reassigned Medicare billing, Ohio enrollment
  • 17 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
3454 OAK ALLEY CT STE 504
TOLEDO, OH 43606
Counselor (Mental Health)
3454 OAK ALLEY CT STE 504
TOLEDO, OH 43606
Social Worker (Clinical)
3454 OAK ALLEY CT STE 504
TOLEDO, OH 43606
Counselor (Mental Health)
3454 OAK ALLEY CT STE 504
TOLEDO, OH 43606
Counselor (Mental Health)
3454 OAK ALLEY CT STE 504
TOLEDO, OH 43606
Counselor (Professional)
3454 OAK ALLEY CT STE 504
TOLEDO, OH 43606
Counselor (Mental Health)
3454 OAK ALLEY CT STE 504
TOLEDO, OH 43606
Counselor
3454 OAK ALLEY CT STE 504
TOLEDO, OH 43606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Wisniewski's NPI number?

The NPI number for Ryan Wisniewski is 1104389428. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Ryan Wisniewski located?

Ryan Wisniewski practices at 3454 Oak Alley Ct Ste 504, Toledo, OH 43606. The listed phone number is (419) 318-8533.

What is Ryan Wisniewski's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Ryan Wisniewski enrolled in Medicare?

Yes. Ryan Wisniewski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryan Wisniewski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Wisniewski reassigns Medicare benefits to Toledo Counseling & Mental Health LLC (Toledo, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Wisniewski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Wisniewski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Ryan Wisniewski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Wisniewski was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.