Individual provider Active NPI

Julianna Weir

  • Counseling Psychologist
  • Marquette, MI
National Provider Identifier
1023616166
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6362009207 Issued in MI
Practice address
102 W Washington St Ste 106
Marquette, MI 49855-4350
Phone
(906) 228-8881
NPI assigned
Oct 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6362009207 MI Primary

Addresses

Primary practice location

102 W Washington St Ste 106
Marquette, MI 49855-4350

Mailing address

6040 Bowers Rd
Imlay City, MI 48444-8837
Phone (586) 216-4113

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juweir24@comcast.net

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6362009207MIMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1023616166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 BOWERS RD",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484448837",
            "telephone_number": "586-216-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W WASHINGTON ST STE 106",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554350",
            "telephone_number": "906-228-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIR",
        "first_name": "JULIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6362009207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juweir24@comcast.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "102 W Washington St Ste 106",
            "city": "Marquette",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498554350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.