Active NPI
Caroline Ann Wade, MS
- Mental Health Counselor
- Emporia, KS
National Provider Identifier
1255040028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 04013
- Practice address
- 418 Market St
Emporia, KS 66801-3932 - Phone
- (559) 908-8405
- NPI assigned
- Nov 21, 2022
- Last updated
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | NU | ||
| Counselor | 101Y00000X | 04013 | KS | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 01061-T | KS | |
| Mental Health Counselor | 101YM0800X | 04013 | KS | Primary |
| Art Therapist | 221700000X | NU | ||
| Recreation Therapist | 225800000X | NU |
Addresses
Primary practice location
418 Market St
Emporia, KS 66801-3932
Mailing address
930 Oak St
Emporia, KS 66801-2559
Phone (559) 908-8405
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01061-T | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 04013 | KS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Hope Therapy LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Emporia, KS
- NPI 1770288383
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1255040028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 OAK ST",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668012559",
"telephone_number": "559-908-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 MARKET ST",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668013932",
"telephone_number": "559-908-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "CAROLINE",
"middle_name": "ANN",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KS",
"license": "04013",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "01061-T",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "04013",
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emporia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.