Jennifer E Wieck, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-16750 Issued in AZ

Practice address

14300 N Northsight Blvd Ste 101
Scottsdale, AZ 85260-3673

Phone

(602) 550-0175

NPI assigned

Nov 4, 2022

Last updated

Nov 4, 2022By 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

Medicare enrollment (NPD)

Not 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.

• Trauma Healing Center LLC

  • Mental Health Counselor
  • Scottsdale, AZ
  • NPI 1184281867
  NPD

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1568179828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10136 E SOUTHERN AVE UNIT 1056",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092739",
            "telephone_number": "319-432-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 N NORTHSIGHT BLVD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603673",
            "telephone_number": "602-550-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECK",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-16750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren C Wichterman, PA-C
• Susan Lee Wickes, M.D.
• Meredith R Wicklund, MD
• Sarah E Wicklund, M.D.
• Matthew David Wickstrom
• John Wiederanders
• Julia Wiedmeier, M.D.
• Megan Annette Wienecke, PA-C
• Steven H Wiener, M.D.
• Sarah Elisabeth Wiersma, M.D.

• Mental Health Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.