Individual provider Active NPI

Matthew Dennis Wenske, LCMHCA, LPC

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1023895695
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A23144 Issued in NC
Practice address
3625 N Elm St Ste 130
Greensboro, NC 27455-2604
Phone
(704) 360-3637
NPI assigned
Sep 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A23144 NC Primary
Mental Health Counselor 101YM0800X LPCCANDIDATE11713 OK

Addresses

Primary practice location

3625 N Elm St Ste 130
Greensboro, NC 27455-2604

Mailing address

1640 W Keetoowah St
Tahlequah, OK 74464-3497
Phone (918) 708-9009

Other practice location 1

1640 W Keetoowah St
Tahlequah, OK 74464-3497
Phone (918) 708-9009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPCCANDIDATE11713OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Wellness Solutions, PLLC Mental Health PastSince Mar 14, 2023 Accepting new patients

Organizations & group practices 1

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": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1023895695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 W KEETOOWAH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643497",
            "telephone_number": "918-708-9009",
            "fax_number": "918-708-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 N ELM ST STE 130",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552604",
            "telephone_number": "704-360-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 W Keetoowah St",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744643497",
            "country_code": "US",
            "telephone_number": "918-708-9009",
            "fax_number": "918-708-1714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENSKE",
        "first_name": "MATTHEW",
        "middle_name": "DENNIS",
        "credential": "LCMHCA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-08",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A23144",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "LPCCANDIDATE11713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.