Active NPI
Vicki R Wheeler, LPC, CAADC, CCJP
- Professional Counselor
- York, PA
National Provider Identifier
1518247493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC005424
- Practice address
- 2159 White St Ste 17
York, PA 17404-4950 - Phone
- (717) 751-6412
- Fax
- (717) 751-6412
- NPI assigned
- Aug 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC005424 | PA | Primary |
Addresses
Primary practice location
2159 White St Ste 17
York, PA 17404-4950
Mailing address
204 Stonegate Rd
York, PA 17408-1597
Phone (717) 751-6412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC005424 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1518247493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 STONEGATE RD",
"city": "YORK",
"state": "PA",
"postal_code": "174081597",
"telephone_number": "717-751-6412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2159 WHITE ST STE 17",
"city": "YORK",
"state": "PA",
"postal_code": "174044950",
"telephone_number": "717-751-6412",
"fax_number": "717-751-6412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "VICKI",
"middle_name": "R",
"credential": "LPC, CAADC, CCJP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-23",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC005424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.