Individual provider Active NPI

Christie Elizabeth Weidenhamer, LMHC

  • Mental Health Counselor
  • Rochester, NY
National Provider Identifier
1063784569
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18 004249 Issued in NY
Practice address
58 Hidden Valley Rd
Rochester, NY 14624-2301
Phone
(585) 406-2684
Fax
(585) 413-0640
NPI assigned
Jan 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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 18 004249 NY Primary

Addresses

Primary practice location

58 Hidden Valley Rd
Rochester, NY 14624-2301

Mailing address

58 Hidden Valley Rd
Rochester, NY 14624-2301
Phone (585) 406-2684

Other names 1

  • Miss Christie Elizabeth Camiolo Former name

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
18 004249NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1063784569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 HIDDEN VALLEY RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146242301",
            "telephone_number": "585-406-2684",
            "fax_number": "585-413-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 HIDDEN VALLEY RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146242301",
            "telephone_number": "585-406-2684",
            "fax_number": "585-413-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDENHAMER",
        "first_name": "CHRISTIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18 004249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "CAMIOLO",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.