Timothy Allen Wienecke, LPC, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC.0014951 Issued in CO

Practice address

800 Washington Ave Apt D
Golden, CO 80401-5815

Phone

(720) 443-1278

NPI assigned

Nov 12, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Empowered Change: Counseling & Education

  • Mental Health Counselor
  • Golden, CO
  • NPI 1649748286

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1285102822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON AVE APT D",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015815",
            "telephone_number": "720-443-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON AVE APT D",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015815",
            "telephone_number": "720-443-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENECKE",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "credential": "LPC, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-12",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0014951",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Whiton, NP
• Susan Arline Whitson, MS
• Taylor Lee Wickey, MA, CCC-SLP
• Brian D Wickham, M D
• Jessica Wieczorek, PA
• Carol Dolores Wier, GNP
• Lora Wiggans, MS, CCC-SLP
• Wiggle Monkey Physical Therapy, PC
• Amanda Margaret Wilberding
• Katelyn Wilczynski

• Mental Health Counselor in Golden, CO
• Providers in Golden, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.