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MICHAEL WYANT LICDC
NPI 1477085769
Counselor - Addiction (Substance Use Disorder) in Elyria, OH

Active since March 28, 2017PECOS Enrolled
202 CHESTNUT ST, ELYRIA, OH 44035(440) 281-8437 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 13, 2020, Mar 28, 2017 (2 updates tracked since 2017).

About Michael Wyant Licdc NPPES

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

MICHAEL WYANT LICDC (NPI 1477085769) is an individual addiction (substance use disorder) provider in Elyria, Ohio, licensed in Ohio (LICDC.161921) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1477085769
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL WYANTCredential: LICDC
Location Address202 CHESTNUT STElyria, OH 44035-5325
Mailing Address202 Chestnut StElyria, OH 44035-5325 · (440) 281-8437
Phone(440) 281-8437
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 28, 2017
Last NPPES UpdateMay 31, 20242 updates tracked since enumeration
NPPES CertifiedMay 31, 2024
✔ NPI 1477085769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · LICDC.161921
202 CHESTNUT ST, Elyria, OH 44035
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Wyant Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274018296
PECOS Enrollment IDI20260327002166
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.

Other Providers at the Same Location NPPES 8

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

MRS. KIM BAKOS RDH
Dental Hygienist
202 CHESTNUT ST
ELYRIA, OH 44035
Lorain County (440) 284-1562
KEVIN BROTHERS
Counselor (Addiction (Substance Use Disorder))
202 CHESTNUT ST
ELYRIA, OH 44035
Lorain County (440) 281-8437
MELANIE CAMERA RDH
Dental Hygienist
202 CHESTNUT ST
ELYRIA, OH 44035
Lorain County (440) 284-1562
DANIELLE MARIE MARKANICH CDCA
Counselor (Addiction (Substance Use Disorder))
202 CHESTNUT ST
ELYRIA, OH 44035
Lorain County (440) 281-8437
MICHELE MARIE MIKOVSKY CDCA
Counselor (Addiction (Substance Use Disorder))
202 CHESTNUT ST
ELYRIA, OH 44035
Lorain County (440) 281-8437
RIVER IOP LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
202 CHESTNUT ST
ELYRIA, OH 44035
Lorain County (440) 954-4611
CITY OF ELYRIA
Public Health or Welfare
202 CHESTNUT ST
ELYRIA, OH 44035
Lorain County (440) 323-7595
DEBORAH ANN THOMPSON RDH
Dental Hygienist
202 CHESTNUT ST
ELYRIA, OH 44035
Lorain County (440) 284-1562

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 Michael Wyant's NPI number?

The NPI number for Michael Wyant is 1477085769. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Michael Wyant located?

Michael Wyant practices at 202 Chestnut St, Elyria, OH 44035. The listed phone number is (440) 281-8437.

What is Michael Wyant's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Michael Wyant enrolled in Medicare?

Yes. Michael Wyant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Wyant was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.