L Stanley Wenck, EDD, HSPP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

20090044A Issued in IN

Practice address

3111 W Jackson St
Muncie, IL 47304-4371

Phone

(765) 284-0879

Fax

(765) 284-1480

NPI assigned

Aug 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amh, Inc

  dba Associates in Mental Health

  • Mental Health Counselor
  • Muncie, IN
  • NPI 1215940374
  NPD (past)
• Central Indiana OB/GYN, LLC

  • Obstetrics & Gynecology Physician
  • Muncie, IN
  • NPI 1265524383
  NPD (past)
• Psychological Laboratories of Indianapolis, PC

  • Psychologist
  • Indianapolis, NE
  • NPI 1295853992
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285747592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IL",
            "postal_code": "473044371",
            "telephone_number": "765-284-0879",
            "fax_number": "765-284-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IL",
            "postal_code": "473044371",
            "telephone_number": "765-284-0879",
            "fax_number": "765-284-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENCK",
        "first_name": "L",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "EDD, HSPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20090044A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000186180",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100333800",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "344574000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Blum

• Counseling Psychologist in Muncie, IL
• Providers in Muncie, IL by specialty
• Counseling Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.