Individual provider Active NPI

Jeffrey Aa Wieneke, M.S

  • Counselor
  • Barrington, IL
National Provider Identifier
1033373741
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
117 S Cook St
PMB 327
Barrington, IL 60010-4311
Phone
(847) 997-8947
Fax
(847) 304-8963
NPI assigned
Jul 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Pastoral Counselor 101YP1600X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

117 S Cook St
PMB 327
Barrington, IL 60010-4311

Mailing address

117 S Cook St
PMB 327
Barrington, IL 60010-4311
Phone (847) 997-8947

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
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1033373741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S COOK ST",
            "address_2": "PMB 327",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104311",
            "telephone_number": "847-997-8947",
            "fax_number": "847-304-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S COOK ST",
            "address_2": "PMB 327",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104311",
            "telephone_number": "847-997-8947",
            "fax_number": "847-304-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENEKE",
        "first_name": "JEFFREY",
        "middle_name": "AA",
        "name_prefix": "Mr.",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.