Active NPI
Marijane Wheeler, MA, LISAC
- Addiction (Substance Use Disorder) Counselor
- Chinle, AZ
National Provider Identifier
1174848824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11385
- Practice address
- Route 7
Box 777
Chinle, AZ 86503-0777 - Phone
- (928) 674-2190
- Fax
- (928) 674-2198
- NPI assigned
- Apr 6, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11385 | AZ | Primary |
Addresses
Primary practice location
Route 7
Box 777
Chinle, AZ 86503-0777
Mailing address
Box 777 Route 7
Chinle, AZ 86503-0777
Phone (928) 674-2190
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11385 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1174848824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 777 ROUTE 7",
"city": "CHINLE",
"state": "AZ",
"postal_code": "865030777",
"telephone_number": "928-674-2190",
"fax_number": "928-674-2198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROUTE 7",
"address_2": "BOX 777",
"city": "CHINLE",
"state": "AZ",
"postal_code": "865030777",
"telephone_number": "928-674-2190",
"fax_number": "928-674-2198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "MARIJANE",
"name_prefix": "Ms.",
"credential": "MA, LISAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-06",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "11385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chinle, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.