Eric Jonathan Wahler, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

292 Issued in MT

Practice address

616 Helena Ave
#301
Helena, MT 59601-3654

Phone

(406) 457-0579

Fax

(406) 442-7271

NPI assigned

Nov 22, 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 2

Medicare fee-for-service enrollment

Enrolled in MT

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

Specialty

Mental Health Counselor

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Kathleen a Dolezal Aprn PC

  • Clinic/Center
  • Helena, MT
  • NPI 1356420863
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356416218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 HELENA AVE",
            "address_2": "#301",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013654",
            "telephone_number": "406-457-0579",
            "fax_number": "406-442-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 HELENA AVE",
            "address_2": "#301",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013654",
            "telephone_number": "406-457-0579",
            "fax_number": "406-442-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLER",
        "first_name": "ERIC",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255489",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "074996",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trista Elaine Vonada
• Joseph Eugene Wagner, SWLC, DTR
• Lexi Wagner, LCPC
• Morgan M Wagner, DPT
• Tricia Lynn Wagner, LCPC, LAC
• Wal-Mart Stores, Inc (Vision Center 30-1872)
• Walgreen Co. (Walgreens #10084)
• Cheryl K. Walker, PHYSICAL THERAPIST
• Chesney Walker
• Walmart Inc. (Walmart Pharmacy 10-1872)

• Professional Counselor in Helena, MT
• Providers in Helena, MT by specialty
• Professional Counselor in Montana

• 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.
• 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.

Verify at the official NPI Registry.