Individual provider Active NPI

Richard Alan Wieners, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Amarillo, TX
National Provider Identifier
1093330078
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11808 Issued in TX
Practice address
1500 Wallace Blvd
Amarillo, TX 79106-1794
Phone
(806) 570-5671
NPI assigned
Jun 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11808 TX Primary

Addresses

Primary practice location

1500 Wallace Blvd
Amarillo, TX 79106-1794

Mailing address

1319 S Beverly Dr
Amarillo, TX 79106-5720
Phone (806) 570-5671

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

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1093330078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 S BEVERLY DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791065720",
            "telephone_number": "806-570-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061794",
            "telephone_number": "806-570-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENERS",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.