Christopher J Wiegenstein, MS, LMHC, CDP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC.LH.60814298 Issued in WA

Practice address

780 SE Bayshore Dr # 201
Oak Harbor, WA 98277-5701

Phone

(360) 682-5519

NPI assigned

Oct 8, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Cradlestone, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Harbor, WA
  • NPI 1225532849
  NPD (past) Authorized official

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1033512744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 891",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982770891",
            "telephone_number": "360-682-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SE BAYSHORE DR # 201",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775701",
            "telephone_number": "360-682-5519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 4th St N",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594013106",
            "country_code": "US",
            "telephone_number": "406-727-2512 x121",
            "fax_number": "406-727-7451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEGENSTEIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MS, LMHC, CDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-08",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHC.LH.60814298",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CDP.CP.60814286",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-2637",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-24040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beecher C Whiteaker III
• Kelli Lynn Whiteaker, LMFTA
• Dione Whitley
• Mariaregina Landicho Wicks, MD
• Alice Widdison
• Laura Wierleski
• Dianna Lynn Wilcox
• Hazel Marie Wilkison
• Amy Willand
• Alan Edward Williams, DDS

• Mental Health Counselor in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.