Active NPI
Wesley M. Eades, PH.D., LPC, LMFT
- Professional Counselor
- Waco, TX
National Provider Identifier
1174594048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11800
- Practice address
- 900 Austin Ave
Suite 501
Waco, TX 76701-1902 - Phone
- (254) 498-7176
- Fax
- (254) 230-4401
- NPI assigned
- Jan 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3445 | TX | |
| Professional Counselor | 101YP2500X | 11800 | TX | Primary |
Addresses
Primary practice location
900 Austin Ave
Suite 501
Waco, TX 76701-1902
Mailing address
PO Box 2421
Waco, TX 76703-2421
Phone (254) 498-7176
Other names 1
- Dr. Wesley M. Eades
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Waco, TX 76701
Phone (254) 498-7176
6219 Wiethorn Dr
Waco, TX 76710-5624
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11800 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nazimuddin Mohammed MD PA | Current | Accepting new patients | |
| Eades Counseling and Consultation, PLLC | Professional | Past | Accepting new patients |
| Waco Partnership for Psychological and Spritual Care | Past | Accepting new patients |
Locations
11500 State Highway 121
Ste 510
Frisco, TX 75035
Phone (469) 200-4093
11500 State Highway 121
Ste 930
Frisco, TX 75035
Phone (469) 200-4083
Organizations & group practices 3
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.
-
- Neurology Physician
- Frisco, TX
- NPI 1710495569
-
- Professional Counselor
- Waco, TX
- NPI 1588118228
-
- Community/Behavioral Health Agency
- Waco, TX
- NPI 1821476904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1174594048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2421",
"city": "WACO",
"state": "TX",
"postal_code": "767032421",
"telephone_number": "254-498-7176",
"fax_number": "254-230-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 AUSTIN AVE",
"address_2": "SUITE 501",
"city": "WACO",
"state": "TX",
"postal_code": "767011902",
"telephone_number": "254-498-7176",
"fax_number": "254-230-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EADES",
"first_name": "WESLEY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PH.D., LPC, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "3445",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "11800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WESLEY",
"last_name": "EADES",
"middle_name": "M.",
"prefix": "DR.",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.