Active NPI
Barbara Jean Wegener, LPC
- Professional Counselor
- Divide, CO
National Provider Identifier
1770665671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4208
- Practice address
- 337 Blue Spruce Rd
Divide, CO 80814-7701 - Phone
- (719) 396-4650
- Fax
- (720) 465-2275
- NPI assigned
- Oct 19, 2006
- Last updated
- Mar 26, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC 4208 | CO | |
| Professional Counselor | 101YP2500X | 4208 | CO | Primary |
Addresses
Primary practice location
337 Blue Spruce Rd
Divide, CO 80814-7701
Mailing address
337 Blue Spruce Rd
Divide, CO 80814-7701
Phone (719) 396-4650
Other practice location 1
427 E Colorado Ave
Studio 213
Colorado Springs, CO 80903
Phone (813) 597-5544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770665671 | Medicaid | CO |
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 |
|---|---|---|---|
| LPC 4208 | CO | MD | Counselor |
| 4208 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648252800000",
"number": "1770665671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 BLUE SPRUCE RD",
"city": "DIVIDE",
"state": "CO",
"postal_code": "808147701",
"telephone_number": "719-396-4650",
"fax_number": "720-465-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 BLUE SPRUCE RD",
"city": "DIVIDE",
"state": "CO",
"postal_code": "808147701",
"telephone_number": "719-396-4650",
"fax_number": "720-465-2275"
}
],
"practiceLocations": [
{
"address_1": "427 E Colorado Ave",
"address_2": "Studio 213",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "80903",
"country_code": "US",
"telephone_number": "813-597-5544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEGENER",
"first_name": "BARBARA",
"middle_name": "JEAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2022-03-26",
"certification_date": "2022-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "LPC 4208",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "4208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770665671",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Divide, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.