Individual provider Active NPI

Christopher W Weidler, M.A.

  • Professional Counselor
  • Dillsburg, PA
National Provider Identifier
1053510453
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005616 Issued in PA
Practice address
790 Range End Rd
Dillsburg, PA 17019-8701
Phone
(978) 927-9410
NPI assigned
Jul 16, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH24930 FL
Professional Counselor 101YP2500X 0701014406 VA
Professional Counselor 101YP2500X 6401224905 MI
Professional Counselor 101YP2500X PC005616 PA Primary
Professional Counselor 101YP2500X LPC0021839 CO
Professional Counselor 101YP2500X LPC23668 AZ
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

790 Range End Rd
Dillsburg, PA 17019-8701

Mailing address

790 Range End Rd
Dillsburg, PA 17019-8701
Phone (978) 473-1676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, CO, FL, AZ, DC, PA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20250924002435 MI Practitioner - Mental Health Counselor 2567967284 Reassigns benefits to 1 organization
I20250929003452 OH Practitioner - Mental Health Counselor 2567967284 Reassigns benefits to 1 organization
I20250930002173 CO Practitioner - Mental Health Counselor 2567967284 Reassigns benefits to 1 organization
I20250930004536 FL Practitioner - Mental Health Counselor 2567967284 Reassigns benefits to 1 organization
I20251002003359 AZ Practitioner - Mental Health Counselor 2567967284 Reassigns benefits to 1 organization
I20251120002412 DC Practitioner - Mental Health Counselor 2567967284 Reassigns benefits to 1 organization
I20260110000076 PA Practitioner - Mental Health Counselor 2567967284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC23668AZMDProfessional Counselor
LPC0021839COMDProfessional Counselor
6401224905MIMDProfessional Counselor
PC005616PAMDProfessional Counselor
0701014406VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 15, 2025 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Networks

  • CO HMO

Organizations & group practices 2

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053510453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 RANGE END RD",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170198701",
            "telephone_number": "978-473-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 RANGE END RD",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170198701",
            "telephone_number": "978-927-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDLER",
        "first_name": "CHRISTOPHER",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24930",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014406",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401224905",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005616",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0021839",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC23668",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillsburg, PA

Sources for this page

Verify at the official NPI Registry.