Brent W Wheeler, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

15744 Issued in TX

Practice address

4940 Broadway St Ste 225
San Antonio, TX 78209-5731

Phone

(254) 624-1233

Fax

(210) 966-0563

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Cedar Crest Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wichita Falls, TX
  • NPI 1083384424
  NPD (past)
• Cedar Crest Clinic

  • Mental Health Counselor
  • Belton, TX
  • NPI 1710936380
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550275200000",
    "number": "1922091388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 BROADWAY ST STE 225",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095731",
            "telephone_number": "254-624-1233",
            "fax_number": "210-966-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 BROADWAY ST STE 225",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095731",
            "telephone_number": "254-624-1233",
            "fax_number": "210-966-0563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3106 S W S Young Dr",
            "address_2": "Suite 201B",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765422000",
            "country_code": "US",
            "telephone_number": "254-519-4162",
            "fax_number": "254-519-3464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "BRENT",
        "middle_name": "W",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2019-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148226702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry L. Wheat II, CRNA
• Tina Lyn Wheat, REGISTERED NURSE
• Ladona Wheatley, RPH
• A. Scott Wheeler, ME
• Abigail Wheeler, MD
• Britten L Wheeler
• Carolyn Mangham Wheeler, MD
• Daniel Wheeler, DO
• Ernest Wheeler, PA
• Hannah Wheeler, PHYSICIAN ASSISTANT

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2019; 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.