Organization Active NPI

Judy Kaye Wieberg

  • Counselor
  • Sparks, NV
National Provider Identifier
1821398108
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CPOO21 Issued in NV
Legal business name
JUDY KAYE WIEBERG
Practice address
2105 Capurro Way
Suite 105
Sparks, NV 89431-8518
Phone
(775) 848-7674
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Judy Kaye Wieberg, LCPC
Title
Counselor
Phone
(775) 848-7674

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X CPOO21 NV Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1089-L NV

Addresses

Primary practice location

2105 Capurro Way
Suite 105
Sparks, NV 89431-8518

Mailing address

11040 Heartpine St
Reno, NV 89506-8952
Phone (775) 848-7674

National Provider Directory

National Provider Directory

Locations

2105 Capurro Way
Ste 105
Sparks, NV 89431
Phone (775) 455-4260

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1821398108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 HEARTPINE ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895068952",
            "telephone_number": "775-848-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 CAPURRO WAY",
            "address_2": "SUITE 105",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318518",
            "telephone_number": "775-848-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY KAYE WIEBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "WIEBERG",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "775-848-7674",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NV",
            "license": "CPOO21",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "1089-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.