Individual provider Active NPI

Linda Wieseler, MSE

  • Mental Health Counselor
  • Sioux City, IA
National Provider Identifier
1912368317
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
01491 Issued in IA
Practice address
705 Douglas St
Suite 350
Sioux City, IA 51101-1048
Phone
(712) 490-2515
Fax
(712) 277-3173
NPI assigned
Mar 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00994 IA
Mental Health Counselor 101YM0800X 01491 IA Primary

Addresses

Primary practice location

705 Douglas St
Suite 350
Sioux City, IA 51101-1048

Mailing address

1003 32ND St
Sioux City, IA 51104-2734
Phone (712) 490-2515

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

State licenses

LicenseStateTypeSpecialty
00994IAMDPsychologist
01491IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Linda R. Wieseler, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1912368317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 32ND ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042734",
            "telephone_number": "712-490-2515",
            "fax_number": "712-277-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DOUGLAS ST",
            "address_2": "SUITE 350",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011048",
            "telephone_number": "712-490-2515",
            "fax_number": "712-277-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESELER",
        "first_name": "LINDA",
        "credential": "MSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00994",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "01491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.