Theodore John Wiard, LPCC
NPI 1790894053ActiveIndividual· Counselor, Mental Health· Taos, NM
Counselor, Mental Health (LPCC) in Taos, New Mexico, licensed in NM, with an NPI issued in August 2006. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1790894053 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC |
| Sole proprietor | Yes |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | May 21, 2024 |
| Certified by provider | May 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 0109811 | NM |
| Counselor, Pastoral | 101YP1600X | 0109811 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NM) |
|---|
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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