Julianne Leonarda Wiebalk, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

814 South 4TH Street
1St Floor
Philadelphia, PA 19147

Phone

(516) 578-1413

NPI assigned

Aug 16, 2017

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

Credentials

Master of Science

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669998217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S 4TH ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473104",
            "telephone_number": "516-578-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 SOUTH 4TH STREET",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19147",
            "telephone_number": "516-578-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBALK",
        "first_name": "JULIANNE",
        "middle_name": "LEONARDA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Neil Widerman, D.O.
• Olivia Mae Widger, M.D.
• Crystal L Widmann, LPC
• Tracy Marie Widmer, CRNP
• Caryn S Widrick, MT-BC
• Peter Wieczorek, DO
• Nancy L Wiedemer, CRNP
• Quinn Wiedemer
• Craig Andrew Wieder, LSW
• Erica Wiegand, DPT

• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.