Kelly Louise Wiebe, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1288 Issued in NC

Practice address

2224 Big Lake CT
Raleigh, NC 27607-6326

Phone

(573) 449-4323

NPI assigned

Apr 23, 2007

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 Arts

State licenses

Practice roles

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

• Coplen, Wright & Associates, Inc.

  • Professional Counselor
  • Columbia, MO
  • NPI 1982702411
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1497973770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 BIG LAKE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076326",
            "telephone_number": "573-449-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 BIG LAKE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076326",
            "telephone_number": "573-449-4323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Ridge View Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275116647",
            "country_code": "US",
            "telephone_number": "919-297-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501A W Ash St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652034609",
            "country_code": "US",
            "telephone_number": "573-446-9665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEBE",
        "first_name": "KELLY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2003025232",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2002017783",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Wibbenmeyer, DPT
• Corey Elizabeth Wicevic
• Nannette Renee Wicker-Essick, OT
• Blake Wickerham, LAT, ATC
• Kristen McCartney Widmer, M.D.
• Lindsay Wieczorek, PHD, RN
• Brennan Christopher Wiedrich, LCMHC-A, CRC
• Michael Edward Wiegert, PA-C
• Jason Wieland, PA-C
• Greg Wiener

• Marriage & Family Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.