MEDICARE: SPENCER WILHELM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	E.2404952	OH
2	101YM0800X	Mental Health Counselor	C.2203932	OH

General Provider Information

NPI Number	:	1699452813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SPENCER WILHELM

Provider Business Mailing Address
First Line	:	1910 KENSINGTON RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-1354
Country	:	US
Telephone Number	:	419-769-0533
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 KENSINGTON RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-1354
Country	:	US
Telephone Number	:	419-769-0533
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2023
Last Update Date	:	02/19/2026

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Directions to “ SPENCER WILHELM ” Practice Location

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