Active NPI
Teonna Marie Wilber, LMHC
- Professional Counselor
- Merrillville, IN
National Provider Identifier
1083995237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 39002463A
- Practice address
- 1465 E 84TH PL
Merrillville, IN 46410-6451 - Phone
- (219) 649-1758
- Fax
- (219) 525-4337
- NPI assigned
- Sep 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401010554 | MI | |
| Professional Counselor | 101YP2500X | 39002463A | IN | Primary |
Addresses
Primary practice location
1465 E 84TH PL
Merrillville, IN 46410-6451
Mailing address
4239 Augusta Dr
Crown Point, IN 46307-8962
Phone (219) 713-4138
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39002463A | IN | MD | Professional Counselor |
| 6401010554 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Survive & Thrive Counseling, Inc. | Current | Accepting new patients | |
| Naughgle Counseling | Past | Accepting new patients |
Locations
1457 E 84th Pl
Merrillville, IN 46410
Phone (219) 351-0631
Organizations & group practices 2
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.
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- NPI 1386209567
-
- Clinical Social Worker
- Merrillville, IN
- NPI 1073178224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1083995237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4239 AUGUSTA DR",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078962",
"telephone_number": "219-713-4138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 E 84TH PL",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106451",
"telephone_number": "219-649-1758",
"fax_number": "219-525-4337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBER",
"first_name": "TEONNA",
"middle_name": "MARIE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401010554",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IN",
"license": "39002463A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.