Gordon D. Wieland, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

102155 Issued in KY

Practice address

3102 Plover Rd
Louisville, KY 40213-1229

Phone

(502) 403-6054

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1043340748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 PLOVER RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131229",
            "telephone_number": "502-403-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 PLOVER RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131229",
            "telephone_number": "502-403-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIELAND",
        "first_name": "GORDON",
        "middle_name": "D.",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "166",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3491",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "102155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan C Wiedmar, PT
• Leigh Ann Wiedmar, MS CCC SLP CBIS
• Beth Ellen Wiegand, P.T.
• Judy Lynn Wiegand, PHYSICAL THERAPIST
• Alex Wiegel, DO
• Janet Wieland, PTA
• Suzanne Kay Wieland, OTR/L
• Mikayla'Lynn Wientjes
• Jessica Wieringa
• Maryann Wiese, LPCC-S

• Professional Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.