John C Wiesch, CCMHC, LCPC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.011783 Issued in IL

Practice address

2435 Kimberly Rd Ste 270
Bettendorf, IA 52722-3509

Phone

(406) 220-6262

NPI assigned

Nov 6, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Ayas Psychotherapeutic Interventions LLC

  • Mental Health Counselor
  • Bettendorf, IA
  • NPI 1952192783
  NPD
• Brightside Medical, P.a.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1609335660
  NPD

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1578076113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 1ST ST",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612442410",
            "telephone_number": "309-981-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 KIMBERLY RD STE 270",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223509",
            "telephone_number": "406-220-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2117 State St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527225164",
            "country_code": "US",
            "telephone_number": "406-220-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIESCH",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "CCMHC, LCPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-06",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.011783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "180.013607",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "090936",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ellen Wheeler, ARNP
• Jacob White-Seabloom, PTA
• Max Whiting, DPT
• Nicholas Wiegand, PA-C
• Lisa Annette Wienclaw, PHARM D
• Haley F Wiggins, FNP-C
• Matthew R Wilber, DPM
• Wild Growth Therapy Co
• Brandon Vahl Willardson, PA-C
• Julie Ann Willey, MOT,OTRL

• Mental Health Counselor in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.