Dale Allen Wenke, M.A.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2034 Issued in OH

Practice address

130 N Prospect St
Suite 12
Granville, OH 43023-1371

Phone

(740) 321-3300

Fax

(740) 321-3338

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Debbie E. Dickson Counseling, Inc

  • Mental Health Counselor
  • Coshocton, OH
  • NPI 1225189046
  NPD (past)
• Newark-Granville Psychological & Counseling Services LTD

  • Adult Mental Health Clinic/Center
  • Granville, OH
  • NPI 1891808648
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790998136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N PROSPECT ST",
            "address_2": "SUITE 12",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231371",
            "telephone_number": "740-321-3300",
            "fax_number": "740-321-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N PROSPECT ST",
            "address_2": "SUITE 12",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231371",
            "telephone_number": "740-321-3300",
            "fax_number": "740-321-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENKE",
        "first_name": "DALE",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Walters, LPC
• Perry Franklin Watson III, D.C.
• Kelly Wayt
• John M Weigand, MD
• Robert Weis, PHD
• Edward L Westerheide, MD
• Beth E White
• Coryallen Wilcox
• William J. Morris, M.D., Inc.
• Jason M Winterhalter, MD

• Clinical Psychologist in Granville, OH
• Providers in Granville, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.