Individual provider Active NPI

James Braden Wesner, PHD

  • Professional Counselor
  • Bath, PA
National Provider Identifier
1811216492
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC001500 Issued in PA
Practice address
1089 Millheim Rd
Bath, PA 18014-9765
Phone
(610) 837-6346
NPI assigned
May 22, 2010
Last updated
Nov 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X PC001500 PA
Professional Counselor 101YP2500X PC001500 PA Primary

Addresses

Primary practice location

1089 Millheim Rd
Bath, PA 18014-9765

Mailing address

51 Market St
Bangor, PA 18013-1901
Phone (610) 588-9109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240426002166 PA Practitioner - Mental Health Counselor 8123478120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist ServicesGroup PAC ID 5193034718, 7 clinicians

Practice addresses (Care Compare)

51 Market St
Bangor, PA 18013-1901
Phone (610) 588-9109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PC001500PAMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Services Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

51 Market St
Bangor, PA 18013
Phone (610) 588-9109

1708 Washington Blvd
Ste 102
Easton, PA 18042
Phone (215) 518-3908

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1274486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1811216492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MARKET ST",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131901",
            "telephone_number": "610-588-9109",
            "fax_number": "610-588-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 MILLHEIM RD",
            "city": "BATH",
            "state": "PA",
            "postal_code": "180149765",
            "telephone_number": "610-837-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESNER",
        "first_name": "JAMES",
        "middle_name": "BRADEN",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-22",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "PA",
            "license": "PC001500",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, PA

Sources for this page

Verify at the official NPI Registry.