Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Anna Katherine Wiebold , LPC

Counselor - Professional β€’ Irving, TX

Active NPI 1376096727 Individual Practitioner Female Practitioner
Practice location in NPPES

4425 W Airport Fwy Ste 244
Irving, TX 750625958

Call 9729539895 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4425 W Airport Fwy Ste 244

Irving, TX 750625958

Telephone 9729539895
Organization at the Same NPPES Address or Phone
Cor Sacrum Counseling And Consulting, Pllc Facility NPI 1447960414

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Irving and Texas

99 active clinicians are listed under Counselor - Professional with a practice address in Irving, TX (20,742 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Irving

7.1% of these 99 clinicians have the CMS telehealth indicator.

10.1% of these 99 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-02-17
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 76313
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

18 Historical Events
πŸ“
Updated Business Mailing Address February 17, 2020

Registered at 4425 W AIRPORT FWY STE 244, IRVING, TX 750625958 (Tel: 9729539895)

πŸ“
Updated Practice Location February 03, 2020

Registered at 4425 W AIRPORT FWY STE 244, IRVING, TX 750625958 (Tel: 7749554588)

πŸ“
Updated Business Mailing Address February 03, 2020

Registered at 3525 W WALNUT HILL LN APT 3027, IRVING, TX 750384125 (Tel: 7749554588)

πŸ“
Updated Practice Location June 25, 2018

Registered at 500 S DENTON TAP RD STE 101, COPPELL, TX 75019 (Tel: 7749554588)

πŸ“
Updated Business Mailing Address June 25, 2018

Registered at 2417 SOUTHLAKE CT, IRVING, TX 750385654 (Tel: 7749554588)

πŸ‘€
Provider Name / Credentials Updated June 25, 2018

Recorded as ANNA WIEBOLD, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2018

Counselor (license number reported to NPPES: TX 76313)

βœ…
NPI Profile Active February 07, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 07, 2017

Registered at 3982 N STORY RD, APARTMENT 417, IRVING, TX 750385969 (Tel: 7749554588)

πŸ“
Updated Business Mailing Address February 07, 2017

Registered at 3982 N STORY RD, APARTMENT 417, IRVING, TX 750385969 (Tel: 7749554588)

πŸ‘€
Provider Name / Credentials Updated February 07, 2017

Recorded as ANNA ADAMS, LPC, LMHC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2017

Counselor (license number reported to NPPES: MA 000009627)

βœ…
NPI Profile Active August 02, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 02, 2016

Registered at 450 ROCK ST, APT 3, FALL RIVER, MA 027203349 (Tel: 7749554588)

πŸ“
Business Mailing Address (Initial Record) August 02, 2016

Registered at 450 ROCK ST, APT 3, FALL RIVER, MA 027203349 (Tel: 7749554588)

πŸ‘€
Provider Name / Credentials (Initial Record) August 02, 2016

Recorded as ANNA ADAMS, LPC, LMHC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2016

Counselor (license number reported to NPPES: MA 000009627)

🟒
Initial NPI Registration & Enumeration August 02, 2016

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1376096727
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2016
Last Update: February 17, 2020
Sole Proprietor: No

Mailing Address

4425 W Airport Fwy Ste 244

Irving, TX 750625958

Phone: 9729539895

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.