Individual provider Active NPI

Barbara J Wiedmann, LPCC-S

  • Counselor
  • Painesville, OH
National Provider Identifier
1548694037
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0001977 Issued in OH
Practice address
1 Victoria PL
Suite 105
Painesville, OH 44077-3466
Phone
(440) 352-8954
Fax
(440) 352-0351
NPI assigned
Sep 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0001977 OH Primary

Addresses

Primary practice location

1 Victoria PL
Suite 105
Painesville, OH 44077-3466

Mailing address

1 Victoria PL
Suite 105
Painesville, OH 44077-3466
Phone (440) 352-8954

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

LicenseStateTypeSpecialty
0001977OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Reserve Counseling Past Accepting new patients
Western Reserve Counseling Service, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1548694037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VICTORIA PL",
            "address_2": "SUITE 105",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773466",
            "telephone_number": "440-352-8954",
            "fax_number": "440-352-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VICTORIA PL",
            "address_2": "SUITE 105",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773466",
            "telephone_number": "440-352-8954",
            "fax_number": "440-352-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDMANN",
        "first_name": "BARBARA",
        "middle_name": "J",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "0001977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.