Jeannette Wahlen, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

129417 Issued in CA

Practice address

1045 Village LN
Chico, CA 95926-2812

Phone

(920) 786-7999

NPI assigned

Nov 7, 2022

Last updated

Nov 7, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 11, 2024 through Nov 11, 2026

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1376251678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1573",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959271573",
            "telephone_number": "530-520-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 VILLAGE LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262812",
            "telephone_number": "920-786-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLEN",
        "first_name": "JEANNETTE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "129417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lavoy Wagner
• Ethan Williams Wagner
• Jeffrey Mark Wagner, P.T., C.H.T.
• Lora Wagner
• Steven Daniel Wagner, DO
• Steven A Wahlen, M.D.
• Larry Wainschel, MD
• Esperanza H Wainscoat, LMFT
• Michael Todd Wainscott, RADT
• Bobby Dean Walden, ASW

• Mental Health Counselor in Chico, CA
• Providers in Chico, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.