Individual provider Active NPI

Lindsey Amber Wehn, M.A.

  • Marriage & Family Therapist
  • Ukiah, CA
National Provider Identifier
1649307950
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT51782 Issued in CA
Practice address
776 S State St
Ukiah, CA 95482-5847
Phone
(707) 463-4915
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT51782 CA Primary
Mental Health Counselor 101YM0800X 51782 CA

Addresses

Primary practice location

776 S State St
Ukiah, CA 95482-5847

Mailing address

309 Elbridge Ave
Cloverdale, CA 95425-4469
Phone (707) 287-1240

Other practice location 1

309 Elbridge Ave
Cloverdale, CA 95425-4469
Phone (707) 287-1240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20260414003091 CA Practitioner - Marriage and Family Therapist 9830665298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Medical CenterGroup PAC ID 3779471446, 42 clinicians

Practice addresses (Care Compare)

1381 University St
Healdsburg, CA 95448-3314
Phone (707) 433-5494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT51782CAMDMarriage & Family Therapist
51782CAMDGeneral Practice Dentistry

Organizations & group practices 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1649307950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 ELBRIDGE AVE",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954254469",
            "telephone_number": "707-287-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 S STATE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825847",
            "telephone_number": "707-463-4915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Elbridge Ave",
            "address_purpose": "LOCATION",
            "city": "Cloverdale",
            "state": "CA",
            "postal_code": "954254469",
            "country_code": "US",
            "telephone_number": "707-287-1240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEHN",
        "first_name": "LINDSEY",
        "middle_name": "AMBER",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT51782",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "51782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.