Jodi L Wiman, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.006960 Issued in IL

Practice address

103 W Main St
Suite 5
Oblong, IL 62449-1165

Phone

(618) 592-3116

Fax

(618) 592-3117

NPI assigned

Oct 4, 2007

Sex

Female

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 IL

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Pivot Counseling and Consulting, LTDGroup PAC ID 8224555842, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.jodiwiman@146897.advancedmd-direct.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.

• Edgewood Clinical Services, P.C.

  • Psychologist
  • Naperville, IL
  • NPI 1295914646
  Medicare reassignment Care Compare group NPD
• Pivot Counseling & Consulting, LTD

  • Professional Counselor
  • Robinson, IL
  • NPI 1386457026
  Medicare reassignment Care Compare group NPD
• Psychology Specialists LTD

  • Clinical Psychologist
  • Bloomington, IL
  • NPI 1053368605
  NPD (past)

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1356539316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST",
            "address_2": "SUITE 5",
            "city": "OBLONG",
            "state": "IL",
            "postal_code": "624491165",
            "telephone_number": "618-592-3116",
            "fax_number": "618-592-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST",
            "address_2": "SUITE 5",
            "city": "OBLONG",
            "state": "IL",
            "postal_code": "624491165",
            "telephone_number": "618-592-3116",
            "fax_number": "618-592-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMAN",
        "first_name": "JODI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suiter Chiropractic, PLLC
• Jamie Nichole Christine Suiter, DC
• Ashley Lynn Swingler, M.S. CCC-SLP
• Marcia Thorsen, LCPC
• Barbara Afman Wilson, LCPC
• Crystal Lynn Woodard, DC

• Professional Counselor in Oblong, IL
• Providers in Oblong, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.