Lisa Dianne Wenger, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2008008554 Issued in MO

Practice address

600 Medical Dr
Wentzville, MO 63385-3426

Phone

(636) 327-1332

NPI assigned

Mar 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1206748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1487826459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 E SUNSHINE ST STE W29",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041237",
            "telephone_number": "417-887-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEDICAL DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853426",
            "telephone_number": "636-327-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGER",
        "first_name": "LISA",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-29",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2008008554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL REGISTRATION",
            "identifier": "2008008554",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie Wasson, PMHNP-BC
• Andrew G Wegener, PA-C
• Patrick R Wehmeier, PHARM.D.
• Heather Welch, MSW, LCSW
• John C Wendt, MD
• Wentzville Adult Day Center LLC
• Wentzville Family Dentistry
• Wentzville Imaging Center, LLC
• Wentzville Orthodontics
• Wentzville Pediatric Dentistry, LLC

• Professional Counselor in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.