Individual provider Active NPI

Lindsey Weber

  • Professional Counselor
  • Chanhassen, MN
National Provider Identifier
1043023963
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC04782 Issued in MN
Practice address
600 W 78TH St Unit 10
Chanhassen, MN 55317-2601
Phone
(952) 373-1434
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC04782 MN Primary

Addresses

Primary practice location

600 W 78TH St Unit 10
Chanhassen, MN 55317-2601

Mailing address

944 Aspen Cir
Watertown, MN 55388-4522
Phone (612) 986-0494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20250428000616 MN Practitioner - Mental Health Counselor 8921524505 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC04782MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Therapeutic Support Services PLLC CurrentSince Feb 2, 2025 Accepting new patients

Locations

600 W 78th St
Ste 10I
Chanhassen, MN 55317
Phone (612) 702-1976

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1043023963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 ASPEN CIR",
            "city": "WATERTOWN",
            "state": "MN",
            "postal_code": "553884522",
            "telephone_number": "612-986-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 78TH ST UNIT 10",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553172601",
            "telephone_number": "952-373-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "LINDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC04782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

Verify at the official NPI Registry.