DR. WESLEY M. EADES (PH.D., LPC, LMFT) – Mental Health Counselor, NPI 1174594048

DR. WESLEY M. EADES (PH.D., LPC, LMFT) is a healthcare provider. based in Waco, Texas. specializing in UNDEFINED NON-PHYSICIAN TYPE (SPECIFY). They hold the professional credentials PH.D., LPC, LMFT. They hold a License No. 11800 (TX). The NPI Number for DR. WESLEY M. EADES (PH.D., LPC, LMFT) is 1174594048

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. WESLEY M. EADES (PH.D., LPC, LMFT)
NPI
1174594048
Phone
(254) 498-7176
Address
PO BOX 2421
Enumeration Date
30 January 2006
Last Update Date
27 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2544987176
Graduation Year
1999 (27 years ago)
PAC ID
9436430766
Professional Enrollment ID
I20161229000276
Address ID
TX76701XXXXWAXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

60 UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) in TX

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Provider Addresses for DR. WESLEY M. EADES (PH.D., LPC, LMFT)

  • Waco Post Office, 86, Atlantic Avenue, Waco, Haralson County, Georgia, 30182, United States

    WACO, TX 767032421

    Phone: (254) 498-7176

    Fax: (254) 230-4401

    Type: Mailing

  • 900, Austin Avenue, Waco, McLennan County, Texas, 76701, United States

    SUITE 501

    WACO, TX 767011902

    Phone: (254) 498-7176

    Fax: (254) 230-4401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161229000276IMarriage Family TherapistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76703)

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Reviews

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Frequently asked questions

Where can patients find DR. WESLEY M. EADES (PH.D., LPC, LMFT)'s NPI?
You can confirm DR. WESLEY M. EADES (PH.D., LPC, LMFT) with NPI 1174594048; it appears in the national provider directory.
Is DR. WESLEY M. EADES (PH.D., LPC, LMFT)'s NPI currently valid?
The extract we use shows DR. WESLEY M. EADES (PH.D., LPC, LMFT) as active.
Does DR. WESLEY M. EADES (PH.D., LPC, LMFT) list a primary specialty?
If you are matching referrals, note Mental Health Counselor for DR. WESLEY M. EADES (PH.D., LPC, LMFT). Clinical services aligned with this taxonomy classification.
Does DR. WESLEY M. EADES (PH.D., LPC, LMFT) practice in Texas?
You will see Waco, Texas on file for DR. WESLEY M. EADES (PH.D., LPC, LMFT) alongside any extra practice locations.
Is DR. WESLEY M. EADES (PH.D., LPC, LMFT) a real provider?
This page reflects official NPPES data for NPI 1174594048. Always confirm identity and privileges with the practice and licensing boards.

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