Ellen Kathleen Wiedner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14935 Issued in CA

Practice address

37143 Santa Rosa Glen Dr
Murrieta, CA 92562-3263

Phone

(310) 357-4680

NPI assigned

Nov 6, 2023

Last updated

Nov 6, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Psych Partners

  • Mental Health Counselor
  • Temecula, CA
  • NPI 1811455306
  NPD
• Psychology Partners a Prof Corp

  dba Psych Partners

  • Marriage & Family Therapist
  • Temecula, CA
  • NPI 1104797398
  NPD (past)

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1497528004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37143 SANTA ROSA GLEN DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925623263",
            "telephone_number": "310-357-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37143 SANTA ROSA GLEN DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925623263",
            "telephone_number": "310-357-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDNER",
        "first_name": "ELLEN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "14935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Whitesinger
• Autumn Whiting
• Tanneshaw Whitson
• Shane Whittaker
• Darren Jeffery Wible, D.D.S.
• Wild at Heart Birth Center
• Kristine Wilder, DC
• Veronica M Wiley
• Jennifer Brooke Wilkes, D.O
• Ginger Wilkey

• Mental Health Counselor in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.