Individual provider Active NPI

Jayne Weyer-Smith, LCSW

  • Mental Health Counselor
  • Waukesha, WI
National Provider Identifier
1013239342
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
442-123 Issued in WI
Practice address
707 W Moreland Blvd
Suite 5
Waukesha, WI 53188-2400
Phone
(262) 542-0123
Fax
(262) 542-1199
NPI assigned
Mar 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 442-123 WI Primary

Addresses

Primary practice location

707 W Moreland Blvd
Suite 5
Waukesha, WI 53188-2400

Mailing address

707 W Moreland Blvd
Suite 5
Waukesha, WI 53188-2400
Phone (262) 542-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
442-123WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Women & Families' Psychotherapy Resources, Inc Mental Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1013239342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W MORELAND BLVD",
            "address_2": "SUITE 5",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882400",
            "telephone_number": "262-542-0123",
            "fax_number": "262-542-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W MORELAND BLVD",
            "address_2": "SUITE 5",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882400",
            "telephone_number": "262-542-0123",
            "fax_number": "262-542-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYER-SMITH",
        "first_name": "JAYNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "442-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.