Individual provider Active NPI

Wesley M. Eades, PH.D., LPC, LMFT

  • Professional Counselor
  • Waco, TX
National Provider Identifier
1174594048
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11800 Issued in TX
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

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260626000649 TX Practitioner - Marriage and Family Therapist 9436430766 Reassigns benefits to 1 organization
Practice locations: Waco, TX

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

LicenseStateTypeSpecialty
11800TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nazimuddin Mohammed MD PA CurrentSince May 14, 2026 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.

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

Verify at the official NPI Registry.