Individual provider Active NPI

Rodger D Wahl, M.E.D., LPC

  • Professional Counselor
  • Weslaco, TX
National Provider Identifier
1083826721
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2638 Issued in TX
Practice address
522 S. Texas Blvd Ste 116
Weslaco, TX 78596-4868
Phone
(956) 463-3431
Fax
(956) 447-2221
NPI assigned
May 4, 2007
Last updated
Jul 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2638 TX Primary

Addresses

Primary practice location

522 S. Texas Blvd Ste 116
Weslaco, TX 78596-4868

Mailing address

522 S. Texas Blvd. Ste 116
Weslaco, TX 78596-4868
Phone (956) 463-3431

Other identifiers 1

IdentifierTypeStateIssuer
171413101MedicaidTX

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
Master of Education

State licenses

LicenseStateTypeSpecialty
2638TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lovin Care Counseling Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1083826721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S. TEXAS BLVD. STE 116",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964868",
            "telephone_number": "956-463-3431",
            "fax_number": "956-447-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S. TEXAS BLVD STE 116",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964868",
            "telephone_number": "956-463-3431",
            "fax_number": "956-447-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "RODGER",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "M.E.D.,  LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "2638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171413101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.