Wendee Ellen Kukuwich, MA, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

66077 Issued in TX

Practice address

2305 Ridge Rd Ste 101C
Rockwall, TX 75087-5163

Phone

(720) 731-2253

Fax

(877) 323-9782

NPI assigned

Jun 17, 2010

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 Arts, Master of Science

State licenses

Practice roles

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.

• Living Well Dallas, Inc.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1902951221

  Counselor

  NPD (past)

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1699096230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 SHADY LANE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750876142",
            "telephone_number": "808-783-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 RIDGE RD STE 101C",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875163",
            "telephone_number": "720-731-2253",
            "fax_number": "877-323-9782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17000 Preston Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752481201",
            "country_code": "US",
            "telephone_number": "720-731-2253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10405 E Northwest Hwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752384600",
            "country_code": "US",
            "telephone_number": "720-731-2253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "997 Shady Lane Dr",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750876142",
            "country_code": "US",
            "telephone_number": "720-731-2253",
            "fax_number": "877-323-9782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUKUWICH",
        "first_name": "WENDEE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "MA, MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Faith Krezinski, RBT
• Kroger Texas L P
• Kroger Texas LP
• Jessica Kuehn, LMFT
• Tamela Kuhnell, MSN, APRN, NNP-BC
• Blessy Anu Kuncheria
• Kurt L Pflieger MD PA
• Britany Leah Kushner, MS
• L. Patrick Grisanti II, DDS, PA
• Richard Alfred Labelle, PA-C

• Professional Counselor in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.