Jeff D Wiese LCSW PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW0712 Issued in AZ

Legal business name

JEFF D WIESE LCSW PLLC

Practice address

5425 N Oracle Rd Ste 115
Tucson, AZ 85704-3890

Phone

(520) 742-9166

Fax

(520) 742-9146

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Jeff D Wiese, LCSW

Title

Owner

Phone

(520) 742-9166

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1588736128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 N ORACLE RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043890",
            "telephone_number": "520-742-9166",
            "fax_number": "520-742-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 N ORACLE RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043890",
            "telephone_number": "520-742-9166",
            "fax_number": "520-742-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF D WIESE LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-742-9166",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW0712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LCSW0712",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Elvemo Jecius, MD
• David Todd Jeck, MD
• Tracy A Jeck, M.D.
• Mahdieh Fazel Jedlowski, MD
• Patrick Michael Jedlowski, MD
• Leo Daniel Jeffero Jr., MC, LMFT
• Eric Keith Jeffers, ED.S.
• Kristy Jefferson, LPN
• Jeffrey B Loomer, MD, PC
• Jeffrey C. Derickson, D.D.S. PLLC

• Mental Health Counselor in Tucson, AZ
• Providers in Tucson, 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 13, 2007; 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.