Active NPI
Linda Wieseler, MSE
- Mental Health Counselor
- Sioux City, IA
National Provider Identifier
1912368317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 01491
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00994 | IA | MD | Psychologist |
| 01491 | IA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Home Health Agency
- Sioux City, IA
- NPI 1386764926
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.