Active NPI
Richard Alan Wieners, LCDC
- Addiction (Substance Use Disorder) Counselor
- Amarillo, TX
National Provider Identifier
1093330078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11808
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.