Individual provider Active NPI

Quinton Richard Wedig, SAC

  • Addiction (Substance Use Disorder) Counselor
  • Madison, WI
National Provider Identifier
1760941116
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16291 Issued in WI
Practice address
2914 Industrial Dr
Madison, WI 53713-4047
Phone
(608) 223-3311
Fax
(608) 204-8585
NPI assigned
Mar 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 16291 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 16291 WI Primary

Addresses

Primary practice location

2914 Industrial Dr
Madison, WI 53713-4047

Mailing address

328 Alpine Meadow Cir
Oregon, WI 53575-3832
Phone (608) 206-7804

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

LicenseStateTypeSpecialty
16291WIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1760941116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 ALPINE MEADOW CIR",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535753832",
            "telephone_number": "608-206-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 INDUSTRIAL DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134047",
            "telephone_number": "608-223-3311",
            "fax_number": "608-204-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDIG",
        "first_name": "QUINTON",
        "middle_name": "RICHARD",
        "credential": "SAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "16291",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

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