Jared M Wilhelm, LPC, MC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC11772 Issued in AZ

Practice address

112 E Main St
Safford, AZ 85546-2050

Phone

(928) 322-4401

NPI assigned

Sep 28, 2006

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

Medicare fee-for-service enrollment

Enrolled in AZ

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jared.wilhelm.p1@direct.cpi.nextgenshare.com

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.

• Community Partners Integrated Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1669897385
  Medicare reassignment NPD
• Community Partners Integrated Healthcare Inc.

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1558020503
  NPD
• Community Partners Integrated Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Safford, AZ
  • NPI 1619279155
  NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1326130634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855480011",
            "telephone_number": "928-322-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E MAIN ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462050",
            "telephone_number": "928-322-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "JARED",
        "middle_name": "M",
        "credential": "LPC, MC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC11772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana Way, COTA/L
• Jacob Henry Webb, PT
• Andrew White, PA-C
• Jason W White, CRNA
• Cyndle Whitmer
• Williams Dentistry PLLC
• Stacy Rene Williams, D.M.D.
• Tamila Willis, FNP-C
• Jessica Lynn Wilson, NP
• Sarah Dawn Wilson, P. A. C.

• Professional Counselor in Safford, AZ
• Providers in Safford, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.