Active NPI
Frederick Dean Wegener, M. DIV., M. S.
- Marriage & Family Therapist
- Tacoma, WA
National Provider Identifier
1821009374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF00000983
- Practice address
- 1614 S Mildred St
Suite B
Tacoma, WA 98465-1626 - Phone
- (253) 564-4233
- Fax
- (253) 564-9451
- NPI assigned
- Aug 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF00000983 | WA | Primary |
Addresses
Primary practice location
1614 S Mildred St
Suite B
Tacoma, WA 98465-1626
Mailing address
1109 N Cedar St
Tacoma, WA 98406-6311
Phone (253) 752-9112
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF00000983 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Places Counseling Center | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Tacoma, WA
- NPI 1669521936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821009374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 N CEDAR ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984066311",
"telephone_number": "253-752-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1614 S MILDRED ST",
"address_2": "SUITE B",
"city": "TACOMA",
"state": "WA",
"postal_code": "984651626",
"telephone_number": "253-564-4233",
"fax_number": "253-564-9451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGENER",
"first_name": "FREDERICK",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "M. DIV., M. S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF00000983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- 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.