What is Micah Wiedemann's NPI number?

Micah Wiedemann's National Provider Identifier (NPI) is 1144630658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Micah Wiedemann's specialty?

Micah Wiedemann is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Micah Wiedemann located?

Micah Wiedemann's practice location on file with NPPES is 3001 Lake East Dr, Las Vegas, NV 89117-2205.

What is Micah Wiedemann's phone number?

The practice phone number listed in the NPPES registry for Micah Wiedemann is (313) 815-0055.

Is Micah Wiedemann's NPI active?

Yes — Micah Wiedemann's NPI (1144630658) is active in the NPPES registry as of the last update on 2014-05-06.

IndividualActive

Micah Wiedemann

NPI 1144630658 · Mental Health Counselor · Las Vegas, NV

Micah Wiedemann is a Mental Health Counselor provider in Las Vegas, NV (NPI 1144630658).

Provider details

NPI number: 1144630658
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(69/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3001 Lake East Dr

Apt 2089

Las Vegas, NV 89117-2205

Phone: (313) 815-0055

Street-level locationGet directions

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Mailing address