Haley Lucille Wiedenman, MA, LPCC in Durango, CO

Haley Lucille Wiedenman, MA, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Durango, Colorado. Her current practice location is 2707 New Mexico Ave, Durango, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 480-0710.

Haley Lucille Wiedenman is licensed to practice in Colorado (license number LPC.0019616) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073278875.

Contact Information

	Haley Lucille Wiedenman, MA, LPCC
	2707 New Mexico Ave, Durango, CO 81301-4722
	(720) 480-0710
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Haley Lucille Wiedenman
Gender	Female
Speciality	Counselor - Mental Health
Location	2707 New Mexico Ave, Durango, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073278875
Provider Enumeration Date: 11/05/2021
Last Update Date: 09/08/2023

Medicare PECOS Information:

PECOS PAC ID: 5890233035
Enrollment ID: I20240819002480

Medical Identifiers

Medical identifiers for Haley Lucille Wiedenman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073278875	NPI	-	NPPES
0018612	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC.0019616 (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Haley Lucille Wiedenman allows following entities to bill medicare on her behalf.

Entity Name	Serenity Mountain Therapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972326288 PECOS PAC ID: 1759810815 Enrollment ID: O20250120000151

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Haley Lucille Wiedenman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Haley Lucille Wiedenman, MA, LPCC 2707 New Mexico Ave, Durango, CO 81301-4722 Ph: (720) 480-0710	Haley Lucille Wiedenman, MA, LPCC 2707 New Mexico Ave, Durango, CO 81301-4722 Ph: (720) 480-0710

Reviews and Comments

Counselor in Durango, CO

Laura L Mcgourty, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 281 Sawyer Dr, Suite 100, Durango, CO 81303 Phone: 970-385-3491
Randle Katherine Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2855 Main Ave Ste A105, Durango, CO 81301 Phone: 903-517-4595
Julyet Lace Kudo, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2243 Main Ave, Suite 20, Durango, CO 81301 Phone: 970-259-0759
Ilse Willenbuecher, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 281 Sawyer Dr, Durango, CO 81303 Phone: 970-259-2162
Molly Rodriguez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1125 Three Springs Blvd, Durango, CO 81301 Phone: 970-403-0180 Fax: 970-403-0190
Joseph Frank Prekup, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1125 Three Springs Blvd, Durango, CO 81301 Phone: 970-317-9297
Eve Nicole Williams, LCSW, LAC Counselor Medicare: Medicare Enrolled Practice Location: 281 Sawyer Dr Ste 100, Durango, CO 81303 Phone: 970-335-2231

Haley Lucille Wiedenman, MA, LPCC - Medicare Counselor in Durango, CO