Active NPI
Daniel Michael Wheeler, RASI
- Addiction (Substance Use Disorder) Counselor
- Clearlake, CA
National Provider Identifier
1356599690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RI-W0808241953
- Practice address
- 6558 Old Hwy 53
Clearlake, CA 95422-6885 - Phone
- (707) 995-3235
- NPI assigned
- Aug 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RI-W0808241953 | CA | Primary |
Addresses
Primary practice location
6558 Old Hwy 53
Clearlake, CA 95422-6885
Mailing address
PO Box 6470
Clearlake, CA 95422-6470
Phone (707) 995-3235
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 |
|---|---|---|---|
| RI-W0808241953 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1356599690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6470",
"city": "CLEARLAKE",
"state": "CA",
"postal_code": "954226470",
"telephone_number": "707-995-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6558 OLD HWY 53",
"city": "CLEARLAKE",
"state": "CA",
"postal_code": "954226885",
"telephone_number": "707-995-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "DANIEL",
"middle_name": "MICHAEL",
"credential": "RASI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-28",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RI-W0808241953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearlake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.