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THEODORE JOHN WIARD LPCC
NPI 1790894053
Counselor - Mental Health in Taos, NM

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
125 LA POSTA RD STE B15, TAOS, NM 87571(505) 690-0126 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theodore John Wiard Lpcc NPPES

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

THEODORE JOHN WIARD LPCC (NPI 1790894053) is an individual mental health provider in Taos, New Mexico, licensed in New Mexico (0109811) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Arroyo Hondo, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1790894053
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTHEODORE JOHN WIARDCredential: LPCC
Location Address125 LA POSTA RD STE B15Taos, NM 87571-7242
Mailing Address412 Sipapu StTaos, NM 87571-6498 · (505) 690-0126 · Fax (575) 586-1259
Phone(505) 690-0126
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 30, 2006
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1790894053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NM · 0109811
Also ListedCounselor · PastoralTaxonomy 101YP1600X · License 0109811 (NM)
125 LA POSTA RD STE B15, Taos, NM 87571
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Secondary Practice Location 1

Location 107 CallecitaArroyo Hondo, NM 87513 · Phone (505) 690-0126 · Fax (575) 586-1259

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodore John Wiard Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759796865
PECOS Enrollment IDI20240613000912
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.

Other Providers at the Same Location NPPES

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

T WIARD LLC
Counselor (Professional)
125 LA POSTA RD STE B15
TAOS, NM 87571
Taos County (505) 690-0126

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 Theodore Wiard's NPI number?

The NPI number for Theodore Wiard is 1790894053. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Theodore Wiard located?

Theodore Wiard practices at 125 La Posta Rd Ste B15, Taos, NM 87571. The listed phone number is (505) 690-0126.

What is Theodore Wiard's specialty?

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

Is Theodore Wiard enrolled in Medicare?

Yes. Theodore Wiard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Theodore Wiard was last updated on May 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.