THEODORE JOHN WIARD LPCC
NPI 1790894053
Counselor - Mental Health in Taos, NM
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Theodore Wiard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Taos, NM 87571
- Reassigned Medicare billing, New Mexico enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Theodore Wiard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Wiard reassigns Medicare benefits to T Wiard LLC (Taos, NM). 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 Theodore Wiard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Theodore Wiard was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Theodore John Wiard, LPCC · NPI 1790894053
Mental Health provider in Taos, New Mexico. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1790894053 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 0109811 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 125 LA POSTA RD STE B15, Taos, NM 87571-7242
- **Phone:** (505) 690-0126
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** T Wiard LLC (NPI 1942637517, Taos, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** May 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790894053) · Data from the CMS NPPES public registry.