Jennifer Mae Wiese, MA, LPC-MH, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-MH2259 Issued in SD

Practice address

4400 W 69TH St Ste 100
Sioux Falls, SD 57108-8172

Phone

(605) 322-5924

Fax

(605) 322-4009

NPI assigned

Sep 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Mae Lovik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Clear Path Counseling, LLC

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1124619333
  NPD Authorized official

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1801222138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W 69TH ST STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088172",
            "telephone_number": "605-322-5924",
            "fax_number": "605-322-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W 69TH ST STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088172",
            "telephone_number": "605-322-5924",
            "fax_number": "605-322-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESE",
        "first_name": "JENNIFER",
        "middle_name": "MAE",
        "credential": "MA, LPC-MH, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH2259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LOVIK",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah L Wielenga, CRNA
• Tucker Wieneke, PHARMD
• Beth J Wienhold, MA, CFY-SLP
• Brian Wienk, PT, SCD
• Daryl R Wierda, MD
• Melissa Wiese, LPC, ACT
• Megan Mattie Wiessner, M.A., CFY-SLP
• Staci A.G. Wietfeld, DPT, OCS
• Wiggers Counseling LLC
• Tyson Wiggers, CSW-PIP, QMHP

• Mental Health Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.