Active NPI
Wade Lang, LPCC
- Counselor
- New Ulm, MN
National Provider Identifier
1164873576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CC01242
- Practice address
- 1215 S. Braodway
New Ulm, MN 56085 - Phone
- (507) 201-4505
- Fax
- (651) 323-2053
- NPI assigned
- Jun 27, 2016
- Last updated
- Sep 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CC01242 | MN | Primary |
Addresses
Primary practice location
1215 S. Braodway
New Ulm, MN 56085
Mailing address
808 Water St SW
Sleepy Eye, MN 56085-1230
Phone (507) 227-6806
Other practice location 1
808 Water St SW
Sleepy Eye, MN 56085-1230
Phone (507) 227-6806
Other practice location 2
2388 University Ave W
Saint Paul, MN 55114-1769
Phone (507) 201-4505
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC01242 | MN | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Set Free Christian Fellowship | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Set Free Counseling
- Mental Health Counselor
- Sleepy Eye, MN
- NPI 1013467299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1164873576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 WATER ST SW",
"city": "SLEEPY EYE",
"state": "MN",
"postal_code": "560851230",
"telephone_number": "507-227-6806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 S. BRAODWAY",
"city": "NEW ULM",
"state": "MN",
"postal_code": "56085",
"telephone_number": "507-201-4505",
"fax_number": "651-323-2053"
}
],
"practiceLocations": [
{
"address_1": "808 Water St SW",
"address_purpose": "LOCATION",
"city": "Sleepy Eye",
"state": "MN",
"postal_code": "560851230",
"country_code": "US",
"telephone_number": "507-227-6806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2388 University Ave W",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551141769",
"country_code": "US",
"telephone_number": "507-201-4505",
"fax_number": "651-323-2053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANG",
"first_name": "WADE",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-27",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MN",
"license": "CC01242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Ulm, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.