Active NPI
Joseph Delano Wibbels Jr.
- Addiction (Substance Use Disorder) Counselor
- Louisville, KY
National Provider Identifier
1457992299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 275743
- Practice address
- 9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812 - Phone
- (833) 510-4357
- NPI assigned
- Oct 2, 2019
- 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 | 275743 | KY | Primary |
Addresses
Primary practice location
9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357
Other practice location 1
3934 Dixie Hwy Ste 103
Louisville, KY 40216-4163
Phone (502) 547-7290
Other practice location 2
4010 DuPont Cir Ste 226
Louisville, KY 40207-4847
Phone (502) 896-8006
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 |
|---|---|---|---|
| 275743 | KY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spero Health of Kentucky, LLC | Past | Accepting new patients |
Organizations & group practices 1
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 Medicine (Family Medicine) Physician
- Danville, KY
- NPI 1982102109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1457992299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600",
"telephone_number": "833-510-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9702 STONESTREET RD STE 120",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402726812",
"telephone_number": "833-510-4357"
}
],
"practiceLocations": [
{
"address_1": "3934 Dixie Hwy Ste 103",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402164163",
"country_code": "US",
"telephone_number": "502-547-7290",
"fax_number": "502-549-1778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4010 DuPont Cir Ste 226",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402074847",
"country_code": "US",
"telephone_number": "502-896-8006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIBBELS",
"first_name": "JOSEPH",
"middle_name": "DELANO",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-02",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "275743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.