Individual provider Active NPI

John C Wade, PH.D.

  • Counseling Psychologist
  • Lawrence, KS
National Provider Identifier
1063504736
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1043 Issued in KS
Practice address
University of Kansas
Counseling and Psych Services, 1200 Schwegler Drive
Lawrence, KS 66045-7559
Phone
(785) 864-2277
Fax
(785) 864-2721
NPI assigned
Sep 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1043 KS Primary

Addresses

Primary practice location

University of Kansas
Counseling and Psych Services, 1200 Schwegler Drive
Lawrence, KS 66045-7559

Mailing address

University of Kansas
Counseling and Psych Services, 1200 Schwegler Drive
Lawrence, KS 66045-7559
Phone (785) 864-2277

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1043KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063504736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KANSAS",
            "address_2": "COUNSELING AND PSYCH SERVICES, 1200 SCHWEGLER DRIVE",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660457559",
            "telephone_number": "785-864-2277",
            "fax_number": "785-864-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KANSAS",
            "address_2": "COUNSELING AND PSYCH SERVICES, 1200 SCHWEGLER DRIVE",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660457559",
            "telephone_number": "785-864-2277",
            "fax_number": "785-864-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "1043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.