Jeff D Wiese, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW0712 Issued in AZ

Practice address

5425 N Oracle Rd # 115
Tucson, AZ 85704-3890

Phone

(520) 742-9166

Fax

(520) 742-9146

NPI assigned

Jun 30, 2006

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)

Enrolled

State licenses

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1477582815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 N ORACLE RD # 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043890",
            "telephone_number": "520-742-9166",
            "fax_number": "520-742-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 N ORACLE RD # 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043890",
            "telephone_number": "520-742-9166",
            "fax_number": "520-742-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESE",
        "first_name": "JEFF",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW0712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Joseph Widman, MD
• Nathalie Wieczorek, BCBA
• Keith Wiegand, PHARMD
• Stephanie Russell Wiegand, MSPT
• Calvin Wiese, LCSW
• Rebecca Wiese, LCSW
• Charles D Wiesel, P.A.
• Evangeline Sara Wiest, RN
• Raelynne Wiest
• Rebecca Wig, MD

• Mental Health Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.