Olivia Wedel Counseling & Consulting, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

OLIVIA WEDEL COUNSELING & CONSULTING, PLLC

Practice address

409 W Wall St
Grapevine, TX 76051-5203

Phone

(817) 264-6604

NPI assigned

Aug 13, 2021

Last updated

Aug 13, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Olivia Wedel, PHD, LPC, NCC, LCDCNPI 1356758718

Title

Owner/Clinical Director

Phone

(817) 721-9570

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olivia D Wedel, M.ED.

  • Addiction (Substance Use Disorder) Counselor
  • Dallas, TX
  • NPI 1356758718
  NPD Authorized official

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1467127225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 BAYLESS DR",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760405101",
            "telephone_number": "817-721-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W WALL ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515203",
            "telephone_number": "817-264-6604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Bayless Dr",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760405101",
            "country_code": "US",
            "telephone_number": "817-721-9570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLIVIA WEDEL COUNSELING & CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "WEDEL",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "817-721-9570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, NCC, LCDC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356758718",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.empathic.com/cp/client/register?clinic=654",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Client Information for Treatment",
            "address_1": "603 Bayless Dr",
            "city": "Euless",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760405101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.