Active NPI
Misti Dawn Wetzel, LMFT
- Marriage & Family Therapist
- Temple, TX
National Provider Identifier
1346512142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 201818
- Practice address
- 2027 S 61St St Ste 112
Temple, TX 76504-6857 - Phone
- (254) 563-9228
- Fax
- (855) 971-0138
- NPI assigned
- Feb 8, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 201818 | TX | |
| Marriage & Family Therapist | 106H00000X | 201818 | TX | Primary |
Addresses
Primary practice location
2027 S 61St St Ste 112
Temple, TX 76504-6857
Mailing address
2027 S 61St St Ste 112
Temple, TX 76504-6857
Phone (254) 563-9228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240522000158 | TX | Practitioner - Mental Health Counselor | 3779934088 | Practice locations: Temple, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2027 S 61St St
Suite 112
Temple, TX 76504-6857
Phone (254) 563-9228
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201818 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1346512142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2027 S 61ST ST STE 112",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046857",
"telephone_number": "254-563-9228",
"fax_number": "855-971-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2027 S 61ST ST STE 112",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046857",
"telephone_number": "254-563-9228",
"fax_number": "855-971-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETZEL",
"first_name": "MISTI",
"middle_name": "DAWN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-08",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "201818",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.