Wayne L Wentworth, M.ED., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

66066 Issued in TX

Practice address

1178 High Frontier Rd.
Fort Davis, TX 79734

Phone

(432) 364-2241

Fax

(432) 364-2261

NPI assigned

Jan 9, 2015

Last updated

Jan 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• The High Frontier Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fort Davis, TX
  • NPI 1811216690
  NPD (past)

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1194113423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1325",
            "city": "FORT DAVIS",
            "state": "TX",
            "postal_code": "797341325",
            "telephone_number": "432-364-2241",
            "fax_number": "432-364-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 HIGH FRONTIER RD.",
            "city": "FORT DAVIS",
            "state": "TX",
            "postal_code": "79734",
            "telephone_number": "432-364-2241",
            "fax_number": "432-364-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTWORTH",
        "first_name": "WAYNE",
        "middle_name": "L",
        "credential": "M.ED., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "66066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas John Homrighaus, LPC
• James Luecke, MD
• Silvanna Lynn Ramos Milan, LMSW
• Jerry Don Mitchell, ED.D., PSYCHOLOGIST
• The High Frontier Inc
• Rebecca Greathouse Wren, M.ED., LPCS, LSOTP-S

• Mental Health Counselor in Fort Davis, TX
• Providers in Fort Davis, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.