Jeffrey Lee Wihebrink I, LMHC, MAC, SAP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39000043 Issued in IN

Practice address

4660 W Jefferson Blvd
Suite 200
Fort Wayne, IN 46804-6845

Phone

(260) 432-9916

Fax

(260) 960-9349

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Counseling Services and Consulting, LLC

  • Community/Behavioral Health Agency
  • Fort Wayne, IN
  • NPI 1669698403
  NPD (past) Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124166533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 W JEFFERSON BLVD",
            "address_2": "SUITE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046845",
            "telephone_number": "260-432-9916",
            "fax_number": "260-960-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 W JEFFERSON BLVD",
            "address_2": "SUITE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046845",
            "telephone_number": "260-432-9916",
            "fax_number": "260-960-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIHEBRINK",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "name_prefix": "Prof.",
        "name_suffix": "I",
        "credential": "LMHC, MAC, SAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin L. Wieland, PSY.D., HSPP
• Stephanie Wielosinski
• Wendy Wierzbowski
• Michelle Elise Wiese, MD
• Molly Wietfeldt
• Cortney Wilcox, FNP
• Esther E Wilcox, MSED, LMFT
• Kristen Wilcox
• Matthew Zachary Wilcox
• Rose Carolyn Wilcox, A.C.N.P.

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.