Active NPI
Deon J Wynia, M.A., LMHC
- Counselor
- Orange City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 00291
- Practice address
- 400 Central Ave NW Ste 300
Suite 103
Orange City, IA 51041-1332 - Phone
- (712) 737-2635
- Fax
- (712) 737-2344
- NPI assigned
- Sep 22, 2006
- Last updated
- Aug 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00291 | IA | Primary |
Addresses
Primary practice location
400 Central Ave NW Ste 300
Suite 103
Orange City, IA 51041-1332
Mailing address
400 Central Ave NW Ste 300
Suite 103
Orange City, IA 51041-1332
Phone (712) 737-2635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Central Ave NW
Suite 300
Orange City, IA 51041-1332
Phone (712) 737-2635
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00291 | IA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Christian Counseling Midwest, Inc. | Counselor | Current | Accepting new patients |
Locations
400 Central Ave NW
Ste 300
Orange City, IA 51041
Phone (712) 737-2635
400 S Sycamore Ave
Ste 105-3
Sioux Falls, SD 57110
Phone (605) 334-3739
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bethesda Christian Counseling
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1376522060
Counselor, IA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1720187867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CENTRAL AVE NW STE 300",
"address_2": "SUITE 103",
"city": "ORANGE CITY",
"state": "IA",
"postal_code": "510411332",
"telephone_number": "712-737-2635",
"fax_number": "712-737-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CENTRAL AVE NW STE 300",
"address_2": "SUITE 103",
"city": "ORANGE CITY",
"state": "IA",
"postal_code": "510411332",
"telephone_number": "712-737-2635",
"fax_number": "712-737-2344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNIA",
"first_name": "DEON",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "M.A., LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IA",
"license": "00291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.