Active NPI
Judith Whetzel, LAC
- Addiction (Substance Use Disorder) Counselor
- Wichita, KS
National Provider Identifier
1356710883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1343
- Practice address
- 940 N Waco Ave
Wichita, KS 67203-3947 - Phone
- (316) 660-7550
- Fax
- (316) 383-2841
- NPI assigned
- Sep 15, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1343 | KS | Primary |
Addresses
Primary practice location
940 N Waco Ave
Wichita, KS 67203-3947
Mailing address
934 N Water St
Wichita, KS 67203-3838
Phone (316) 660-7600
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 |
|---|---|---|---|
| 1343 | KS | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sedgwick | Past | Accepting new patients | |
| County of Sedgwick | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Addiction (Substance Use Disorder) Counselor
- Wichita, KS
- NPI 1376624775
-
- Case Management Agency
- Wichita, KS
- NPI 1679610539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1356710883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 N WATER ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672033838",
"telephone_number": "316-660-7600",
"fax_number": "316-941-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 N WACO AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672033947",
"telephone_number": "316-660-7550",
"fax_number": "316-383-2841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHETZEL",
"first_name": "JUDITH",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "1343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.