Active NPI
Patricia Jo Wahwasuck, LAC
- Addiction (Substance Use Disorder) Counselor
- Powhattan, KS
National Provider Identifier
1740854801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 918
- Practice address
- 649 150TH St
Powhattan, KS 66527-9632 - Phone
- (785) 741-4234
- NPI assigned
- May 13, 2021
- Last updated
- May 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 918 | KS | Primary |
Addresses
Primary practice location
649 150TH St
Powhattan, KS 66527-9632
Mailing address
649 150TH St
Powhattan, KS 66527-9632
Phone (785) 741-4234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 918 | Other | KS | LAC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 918 | KS | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1740854801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 150TH ST",
"city": "POWHATTAN",
"state": "KS",
"postal_code": "665279632",
"telephone_number": "785-741-4234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "649 150TH ST",
"city": "POWHATTAN",
"state": "KS",
"postal_code": "665279632",
"telephone_number": "785-741-4234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHWASUCK",
"first_name": "PATRICIA",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-13",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAC",
"identifier": "918",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.