Wendy Lee Patzke, BS, QMHA, CADC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11-09-41 Issued in OR

Practice address

3878 Beverly Ave NE
Salem, OR 97305-1394

Phone

(503) 399-0670

NPI assigned

Jan 7, 2015

Sex

Female

Sole proprietor

No

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

Credentials

Bachelor of Science

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1164810560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3878 BEVERLY AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051394",
            "telephone_number": "503-399-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3878 BEVERLY AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051394",
            "telephone_number": "503-399-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATZKE",
        "first_name": "WENDY",
        "middle_name": "LEE",
        "credential": "BS, QMHA, CADC I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "11-09-41",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Patterson, CRM
• Thomas T Patterson, MD
• Mark A. Patton, D.O.
• Taranna Kay Patton
• Dakota Jo Patzke, THW, CRM
• Joy Paul, LPC, NCC
• Tammi Paul
• Steven James Paulissen, MD
• Lynette Paulson
• Michelle P Pavelek, MOTR/L

• Addiction (Substance Use Disorder) Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.