Organization Active NPI

WCDC, Inc.

  • Professional Counselor
  • Washington, IA
National Provider Identifier
1104969781
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WCDC, INC.
Practice address
1425 W 5TH St
Washington, IA 52353-2904
Phone
(319) 653-7248
Fax
(319) 653-7249
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carolyn Sue Schmidt
Title
Vice President of Business Practice
Phone
(319) 653-7248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1425 W 5TH St
Washington, IA 52353-2904

Mailing address

1425 W 5TH St
P.O. Box 61
Washington, IA 52353-2904
Phone (319) 653-7248

Other identifiers 4

IdentifierTypeStateIssuer
0234013MedicaidIA
2234013MedicaidIA
1234013MedicaidIA
0103325MedicaidIA

National Provider Directory

National Provider Directory

Locations

1425 W 5th St
Washington, IA 52353
Phone (319) 653-7248

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104969781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W 5TH ST",
            "address_2": "P.O. BOX 61",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523532904",
            "telephone_number": "319-653-7248",
            "fax_number": "319-653-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W 5TH ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523532904",
            "telephone_number": "319-653-7248",
            "fax_number": "319-653-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WCDC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF BUSINESS PRACTICE",
        "authorized_official_telephone_number": "319-653-7248"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234013",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2234013",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1234013",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103325",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.