Julianne Leonarda Wiebalk, MS
Counselor, Mental Health in Philadelphia, PA. Individual provider (NPI-1).
NPI number1669998217
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1669998217
- Entity type
- Individual (NPI-1)
- Name
- Julianne Leonarda Wiebalk
- Credential
- MS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2017
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
814 South 4th Street1st Floor
Philadelphia, PA 19147
Phone 516-578-1413
Mailing address
814 S 4th St Fl 1Philadelphia, PA 19147-3104
Phone 516-578-1413
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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