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HALEY LUCILLE WIEDENMAN MA, LPCC
NPI 1073278875
Counselor - Mental Health in Durango, CO

Active since November 05, 2021PECOS Enrolled
2707 NEW MEXICO AVE, DURANGO, CO 81301(720) 480-0710 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2023, Nov 5, 2021 (2 updates tracked since 2021).

About Haley Lucille Wiedenman Ma, Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HALEY LUCILLE WIEDENMAN MA, LPCC (NPI 1073278875) is an individual mental health provider in Durango, Colorado, licensed in Colorado (LPC.0019616) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073278875
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHALEY LUCILLE WIEDENMANCredential: MA, LPCC
Location Address2707 NEW MEXICO AVEDurango, CO 81301-4722
Mailing Address2707 New Mexico AveDurango, CO 81301-4722 · (720) 480-0710
Phone(720) 480-0710
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 5, 2021
Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1073278875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · LPC.0019616
2707 NEW MEXICO AVE, Durango, CO 81301
Open in Google Maps ↗

Other Identifiers 1

Medicaid0018612CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haley Lucille Wiedenman Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890233035
PECOS Enrollment IDI20240819002480
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Haley Wiedenman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serenity Mountain Therapy LLC
0.7 mi
Adult Mental Health
2243 MAIN AVE
Durango, CO 81301
  • Reassigned Medicare billing, Colorado enrollment
NPI 1972326288 (720) 383-4886

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haley Wiedenman's NPI number?

The NPI number for Haley Wiedenman is 1073278875. It was assigned to this individual provider in the NPPES registry on November 5, 2021.

Where is Haley Wiedenman located?

Haley Wiedenman practices at 2707 New Mexico Ave, Durango, CO 81301. The listed phone number is (720) 480-0710.

What is Haley Wiedenman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Haley Wiedenman enrolled in Medicare?

Yes. Haley Wiedenman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Haley Wiedenman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haley Wiedenman reassigns Medicare benefits to Serenity Mountain Therapy LLC (Durango, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Haley Wiedenman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haley Wiedenman accept?

Health plans from Select Health list Haley Wiedenman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Haley Wiedenman was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.