Liandra Mercedis Wheeler, LPA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5857 Issued in NC

Practice address

2940 Breezewood Ave
Fayetteville, NC 28303-5520

Phone

(910) 827-6594

Fax

(910) 827-6592

NPI assigned

Jun 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Clinical Counseling and Consulting Services, PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1942744792
  NPD

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

{
    "created_epoch": "1624665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1043880651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TRIGGER CT",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275768858",
            "telephone_number": "919-706-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 BREEZEWOOD AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035520",
            "telephone_number": "910-827-6594",
            "fax_number": "910-827-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "LIANDRA",
        "middle_name": "MERCEDIS",
        "name_prefix": "Miss",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-26",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwheeler@3cworks.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2940 Breezewood Ave",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283035520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• What About US Healthcare LLC
• Gabrielle Wheat
• Bonney Lee Wheelden, ARNP
• Bruce Wheeler, DMD
• Carol S Wheeler, LPT
• Lynette Wheeler
• Shelby Marie Wheeler
• Venice Wheeler
• Rebekah Wheelock, LCMHCA
• Shanita Danielle Bailey Whetstone, PA-C

• Clinical Psychologist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; 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.