Lori Wieder, LAPC, M.ED., NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

APC000045 Issued in PA

Practice address

2023 Cato Ave Ste 101
State College, PA 16801-2765

Phone

(814) 308-8375

NPI assigned

May 15, 2024

Last updated

May 15, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Room Inc.

  • Clinical Social Worker
  • State College, PA
  • NPI 1033501523

  Professional

  NPD

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1477302073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 WESTERLY PKWY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014227",
            "telephone_number": "301-807-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 CATO AVE STE 101",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012765",
            "telephone_number": "814-308-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDER",
        "first_name": "LORI",
        "credential": "LAPC, M.ED., NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "APC000045",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "APC000045",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "APC000045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph D. Whitlark, MD
• Jamie Alexis Whitney
• Lynn S Whittaker, CRNP
• Shyama Dilani Wickramaaratchi, D.O.
• Joseph P Wiedemer, MD
• Robert Marshall Wild Jr., M.D.
• Erica Wiley, PHD
• James R Wilkes Jr., ATC
• Ben Graham Williams, DMD
• Courtney Renee Williams

• Counselor in State College, PA
• Providers in State College, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.