Active NPI
Beverly Joy Wennogle
- Marriage & Family Therapist
- Wheat Ridge, CO
National Provider Identifier
1750559290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 9379
- Practice address
- 4851 Independence St
Suite 100
Wheat Ridge, CO 80033-6715 - Phone
- (303) 425-0300
- Fax
- (303) 432-5071
- NPI assigned
- Feb 19, 2008
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 9379 | CO | Primary |
Addresses
Primary practice location
4851 Independence St
Suite 100
Wheat Ridge, CO 80033-6715
Mailing address
4851 Independence St
Suite 100
Wheat Ridge, CO 80033-6715
Phone (303) 425-0300
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 |
|---|---|---|---|
| 9379 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1750559290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4851 INDEPENDENCE ST",
"address_2": "SUITE 100",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336715",
"telephone_number": "303-425-0300",
"fax_number": "303-432-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4851 INDEPENDENCE ST",
"address_2": "SUITE 100",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336715",
"telephone_number": "303-425-0300",
"fax_number": "303-432-5071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENNOGLE",
"first_name": "BEVERLY",
"middle_name": "JOY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-19",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "9379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.