Victor Van Wiesner III, LPC, NCC, CCMHC, MBA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

14557 Issued in TX

Practice address

9595 Six Pines Dr
Suite 8210
The Woodlands, TX 77380-1531

Phone

(281) 825-7789

NPI assigned

Oct 6, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1043529183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 MARY KATHERYNS XING",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044979",
            "telephone_number": "281-825-7789",
            "fax_number": "832-631-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9595 SIX PINES DR",
            "address_2": "SUITE 8210",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801531",
            "telephone_number": "281-825-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESNER",
        "first_name": "VICTOR",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "LPC, NCC, CCMHC, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.