MARY ALICE WENTLING LCPC NPI 1174779953

NPI Information

  • NPI: 1174779953
  • Provider Name: MARY ALICE WENTLING, LCPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 501 WOODLAND DR
    DIXON, IL
    ZIP 61021
  • Phone: (815) 973-6111

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NPI Details

Mary Alice Wentling, LCPC is a mental health counselor in Dixon, IL. Mary Alice Wentling, LCPC NPI is 1174779953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

501 WOODLAND DR
DIXON, IL
ZIP 61021-937
Phone: (815) 973-6111

The enumeration date for this NPI number is 8/13/2008 and was last updated on 8/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health180005096ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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