Active NPI
Judy Kaye Wieberg
- Counselor
- Sparks, NV
National Provider Identifier
1821398108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CPOO21
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CPOO21 | NV | Primary |
| Addiction (Substance Use Disorder) Counselor | 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 DirectoryLocations
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.