Pam Wiebelhaus, MS, LPC, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC 2060 Issued in CO

Practice address

7610 N Union Blvd Ste 145
Colorado Springs, CO 80920-3894

Phone

(719) 344-2209

Fax

(877) 343-0846

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 4, 2024 through Dec 4, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Beverly Hawpe and Associates, PC

  • Addiction (Substance Use Disorder) Counselor
  • Colorado Springs, CO
  • NPI 1003871328
  NPD (past)
• Mountain Lake Associates,PC

  • Addiction (Substance Use Disorder) Counselor
  • Colorado Springs, CO
  • NPI 1154386555
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1083835250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 N UNION BLVD STE 145",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203894",
            "telephone_number": "719-344-2209",
            "fax_number": "877-343-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 N UNION BLVD STE 145",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203894",
            "telephone_number": "719-344-2209",
            "fax_number": "877-343-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBELHAUS",
        "first_name": "PAM",
        "name_prefix": "Ms.",
        "credential": "MS, LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "0427",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC 2060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136998",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Marie Wickham, LPC, LAC
• Michelle Wickizer, PSY.D
• Michelle M Wickliff
• Cindy L Wickline, MD
• Cathryn Michiko Widiger
• Cassandra Lynn Wieczerza, DDS
• Lauren Elizabeth Wieczorek, FNP-C
• Curt W Wiedey, LCSW
• David Allen Wiegmann, MD
• Sarah Wiehe, DPT

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.