Wade Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WADE COUNSELING

Practice address

1809 Michelle CT
Ann Arbor, MI 48105-9253

Phone

(734) 717-4186

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Heckendorn, LMSW

Title

Biller

Phone

(734) 274-0536

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kathy Wade Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Wade, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1720526718
  Medicare reassignment NPD

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1245949890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 MICHELLE CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059253",
            "telephone_number": "734-717-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 MICHELLE CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059253",
            "telephone_number": "734-717-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "HECKENDORN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "734-274-0536",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014440",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1809 Michelle Ct",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481059253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "TherapyNotes.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1809 Michelle Ct",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481059253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kathy Wade",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kathy Wade",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katherine Waanders
• Scott Waclawik
• Zara Layla Waddell Jordan
• Matthew Paul Waddell, LMSW
• Shaneta Waddy
• Alexis Wade
• Jenniah Wade
• Kathleen Wade, LMSW
• Kreymohney Desiree Wade, SPECIALIST
• Ryan Wade, LLMSW

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.