Active NPI
Daniel Wichman, LPC
- Mental Health Counselor
- Allen, TX
National Provider Identifier
1326406455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 70313
- Practice address
- 904 Granger Dr
Allen, TX 75013-1102 - Phone
- (972) 977-0203
- NPI assigned
- Feb 3, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12816 | TX | |
| Mental Health Counselor | 101YM0800X | 70313 | TX | Primary |
Addresses
Primary practice location
904 Granger Dr
Allen, TX 75013-1102
Mailing address
904 Granger Dr
Allen, TX 75013-1102
Phone (972) 977-0203
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70313 | TX | MD | Mental Health Counselor |
| 12816 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetrack Counseling LLC | Mental Health | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1326406455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 GRANGER DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750131102",
"telephone_number": "972-977-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 GRANGER DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750131102",
"telephone_number": "972-977-0203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICHMAN",
"first_name": "DANIEL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-03",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "12816",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "70313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.