David Ray Wence, D MIN LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3040 N University Ave
Ste 2
Decatur, IL 62526-1351

Phone

(217) 872-1700

Fax

(217) 872-1366

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 1986

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Decatur Psychological Associates PC

  • Counselor
  • Decatur, IL
  • NPI 1184732745
  NPD Authorized official
• Decatur Counseling Center, LLC

  • Clinical Social Worker
  • Decatur, IL
  • NPI 1548136583
  NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831209758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 N UNIVERSITY AVE",
            "address_2": "STE 2",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261351",
            "telephone_number": "217-872-1700",
            "fax_number": "217-872-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 N UNIVERSITY AVE",
            "address_2": "STE 2",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261351",
            "telephone_number": "217-872-1700",
            "fax_number": "217-872-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENCE",
        "first_name": "DAVID",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D MIN LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0035840188",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allyson Wegs
• Cordaja Weikle
• Melanie Welch
• Taleatha Welch, LCSW
• Verlencia Welton
• Melissa Kay Wendell, CNM
• Donald Walter Wendt, PA-C
• Meredith A Wessler, P.A.
• Catalina West
• Kelly Marie West, APN

• Counselor in Decatur, IL
• Providers in Decatur, IL by specialty
• Counselor in Illinois

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.