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MICAH WIEDEMANN
NPI 1144630658
Counselor - Mental Health in Las Vegas, NV

Active since May 06, 2014
3001 LAKE EAST DR, APT 2089, LAS VEGAS, NV 89117(313) 815-0055 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Micah Wiedemann NPPES

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

MICAH WIEDEMANN (NPI 1144630658) is an individual mental health provider in Las Vegas, Nevada and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1144630658
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICAH WIEDEMANN
Location Address3001 LAKE EAST DR, APT 2089Las Vegas, NV 89117-2205
Mailing Address3001 Lake East Dr, Apt 2089Las Vegas, NV 89117-2205
Phone(313) 815-0055
Sole ProprietorYes
Enumeration DateMay 6, 2014
✔ NPI 1144630658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3001 LAKE EAST DR, Las Vegas, NV 89117
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY MARTIN
Counselor (Mental Health)
3001 LAKE EAST DR, APT # 2095
LAS VEGAS, NV 89117
Clark County (702) 503-6469
BRITTANY LEIGH BARRETT
Rehabilitation Practitioner
3001 LAKE EAST DR, #2078
LAS VEGAS, NV 89117
Clark County (775) 513-1627
KAMAL SHONTA SMITH
Behavior Analyst
3001 LAKE EAST DR
LAS VEGAS, NV 89117
Clark County (702) 823-9020

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 Micah Wiedemann's NPI number?

The NPI number for Micah Wiedemann is 1144630658. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Where is Micah Wiedemann located?

Micah Wiedemann practices at 3001 Lake East Dr Apt 2089, Las Vegas, NV 89117. The listed phone number is (313) 815-0055.

What is Micah Wiedemann's specialty?

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

When was this NPI record last updated?

The NPPES record for Micah Wiedemann was last updated on May 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.