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Active NPI 1407863681 Individual Practitioner Male Practitioner

Robert J Wiedeman , LMHC------CADAC

Counselor • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Robert Wiedeman, LMHC------CADAC is a registered healthcare professional specializing in Counselor in Worcester, MA. Practice services are available at 72 JAQUES AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

72 Jaques Ave

Worcester, MA 016102476

Telephone 5084214507
Fax 5088601068
Associated Practice Facility / Clinic
🏢 Community Healthlink Facility NPI 1538372602

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
566 Specialists

Practicing in Worcester, MA (9162 Statewide)

Telehealth Adoption Rate
1.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License MA 1492

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Lmhc
1492 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1144255209

Doctor of Philosophy (Ph.D.)

Janet Starr

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1215183926
Alice Chege , RN

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1659698934

Registered Nurse

Kathleen Steenbruggen , RN

Registered Nurse - Community Health

NPI 1700212065

Registered Nurse

Doris Smith , LMHC

Counselor - Professional

NPI 1700991684

Licensed Mental Health Counselor

Dr. Marie Hobart , MD

Psychiatry & Neurology - Psychiatry

NPI 1922055706

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 72 JAQUES AVE, WORCESTER, MA 016102476 (Tel: 5084214507)

📍
Updated Business Mailing Address July 08, 2007

Registered at 44 SHERMAN GRV, SPENCER, MA 015621431 (Tel: 5088859239)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT WIEDEMAN, LMHC------CADAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #1492 in MA)

🟢
Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407863681
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

44 Sherman Grv

Spencer, MA 015621431

Phone: 5088859239

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.