Individual provider Active NPI

Tanya Wenig, LPC

  • Professional Counselor
  • Post Falls, ID
National Provider Identifier
1194066696
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-5020 Issued in ID
Practice address
1602 E Seltice Way
Suite D
Post Falls, ID 83854-7082
Phone
(208) 619-0190
Fax
(208) 619-0195
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-5020 ID Primary

Addresses

Primary practice location

1602 E Seltice Way
Suite D
Post Falls, ID 83854-7082

Mailing address

1602 E Seltice Way
Suite D
Post Falls, ID 83854-7082
Phone (208) 619-0190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20240112000558 ID Practitioner - Mental Health Counselor 1850742057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

118 N 7TH St
Suite C12
Coeur D Alene, ID 83814-2709
Phone (208) 964-9333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-5020IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TW Creative Therapy, LLC CurrentSince Nov 15, 2023 Accepting new patients

Locations

118 N 7th St
Ste C12
Coeur D Alene, ID 83814
Phone (208) 274-3611

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1194066696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 E SELTICE WAY",
            "address_2": "SUITE D",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547082",
            "telephone_number": "208-619-0190",
            "fax_number": "208-619-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 E SELTICE WAY",
            "address_2": "SUITE D",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547082",
            "telephone_number": "208-619-0190",
            "fax_number": "208-619-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENIG",
        "first_name": "TANYA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-5020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.