Individual provider Active NPI

James J Wieme, MFT INTERN

  • Marriage & Family Therapist
  • Spring Valley, CA
National Provider Identifier
1295006484
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
65968 Issued in CA
Practice address
8585 Blossom LN
Spring Valley, CA 91977-3765
Phone
(619) 337-6100
Fax
(619) 697-7027
NPI assigned
Jan 19, 2012
Last updated
Jan 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 65968 CA Primary

Addresses

Primary practice location

8585 Blossom LN
Spring Valley, CA 91977-3765

Mailing address

8585 Blossom LN
Spring Valley, CA 91977-3765
Phone (619) 337-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Supportive Medical Specialists, a Medical Corporation CurrentSince Feb 1, 2025 Accepting new patients

Locations

800 W Valley Pkwy
Ste 203
Escondido, CA 92025
Phone (760) 796-3763

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.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1295006484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 BLOSSOM LN",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919773765",
            "telephone_number": "619-337-6100",
            "fax_number": "619-697-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 BLOSSOM LN",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919773765",
            "telephone_number": "619-337-6100",
            "fax_number": "619-697-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEME",
        "first_name": "JAMES",
        "middle_name": "J",
        "credential": "MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "65968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

Verify at the official NPI Registry.