Justin Wheaton

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

121786 Issued in NY

Practice address

103 Lelanis Lane, Suite a
Norwich, NY 13815

Phone

(607) 304-5501

Fax

(607) 373-3864

NPI assigned

Feb 12, 2026

Last updated

Feb 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1467304386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 BALLYHACK RD",
            "city": "PORT CRANE",
            "state": "NY",
            "postal_code": "138331028",
            "telephone_number": "607-624-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LELANIS LANE, SUITE A",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "13815",
            "telephone_number": "607-304-5501",
            "fax_number": "607-373-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATON",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "121786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Ward, MD
• Peter Michael Ward, DDS
• Patricia Lynn Warski, DPM
• Michael K Waters, MD
• Scott M. Weeks, LMSW
• Allison J Wiley, LPN
• Makenzie M Williams, DPT
• Shannan Christi Williams
• Christine B Wilson, DO
• Ma Khin Khin Win

• Mental Health Counselor in Norwich, NY
• Providers in Norwich, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.