Individual provider Active NPI

Wendy Weinberg Weil, E1600081S. LPCC-S

  • Mental Health Counselor
  • Chagrin Falls, OH
National Provider Identifier
1013329853
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1200465 Issued in OH
Practice address
516 Washington St Ste E
Chagrin Falls, OH 44022-4402
Phone
(440) 591-4366
NPI assigned
May 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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 1200465 OH Primary

Addresses

Primary practice location

516 Washington St Ste E
Chagrin Falls, OH 44022-4402

Mailing address

2566 Wellington Rd
Cleveland Heights, OH 44118-4135
Phone (216) 410-2235

Other practice location 1

12557 Ravenwood Dr
Chardon, OH 44024-9009
Phone (440) 285-3568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240326000134 OH Practitioner - Mental Health Counselor 8123465234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindfulness-CounselingGroup PAC ID 2264736180, 11 clinicians

Practice addresses (Care Compare)

3109 Mayfield Rd
Suite 204
Cleveland Heights, OH 44118-1726
Phone (440) 591-4366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1200465OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfulness-Counseling CurrentSince Feb 3, 2024 Accepting new patients

Locations

3109 Mayfield Rd
Ste 204
Cleveland Hts, OH 44118
Phone (440) 591-4366

14900 Detroit Ave
Ste 311
Lakewood, OH 44107
Phone (216) 245-7811

8500 Station St
Ste 102
Mentor, OH 44060
Phone (216) 219-0374

13940 Cedar Rd
University Hts, OH 44118
Phone (216) 213-6738

Networks

  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • KY PPO
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • KY PPO C-SNP
  • OH PPO

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1013329853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 WELLINGTON RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441184135",
            "telephone_number": "216-410-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 WASHINGTON ST STE E",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440224402",
            "telephone_number": "440-591-4366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12557 Ravenwood Dr",
            "address_purpose": "LOCATION",
            "city": "Chardon",
            "state": "OH",
            "postal_code": "440249009",
            "country_code": "US",
            "telephone_number": "440-285-3568",
            "fax_number": "440-285-4552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIL",
        "first_name": "WENDY",
        "middle_name": "WEINBERG",
        "name_prefix": "Mrs.",
        "credential": "E1600081S. LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "1200465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

Verify at the official NPI Registry.