Theodore Wiard, LPCC
NPI 1790894053 · Mental Health Counselor · Taos, NM
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Wiard, LPCC is a Mental Health Counselor provider in Taos, NM (NPI 1790894053).
Provider details
- NPI number
- 1790894053
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0109811 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 07 CallecitaArroyo Hondo, NM 87513Phone: (505) 690-0126Fax: (575) 586-1259
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2024-05-21
- Certified
- 2024-05-21
Frequently asked questions
- What is Theodore Wiard's NPI number?
- Theodore Wiard's National Provider Identifier (NPI) is 1790894053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Wiard's specialty?
- Theodore Wiard is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Theodore Wiard located?
- Theodore Wiard's practice location on file with NPPES is 125 La Posta Rd Ste B15, Taos, NM 87571-7242.
- What is Theodore Wiard's phone number?
- The practice phone number listed in the NPPES registry for Theodore Wiard is (505) 690-0126.
- Does Theodore Wiard accept Medicare?
- Theodore Wiard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Wiard's NPI active?
- Yes — Theodore Wiard's NPI (1790894053) is active in the NPPES registry as of the last update on 2024-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.