Active NPI
Emmily Jo Weldon, PCCI
- Counselor
- San Diego, CA
National Provider Identifier
1083006332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PCCI 2635
- Practice address
- 10717 Camino Ruiz
#207
San Diego, CA 92126-7102 - Phone
- (858) 695-2211
- NPI assigned
- Feb 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PCCI 2635 | CA | Primary |
Addresses
Primary practice location
10717 Camino Ruiz
#207
San Diego, CA 92126-7102
Mailing address
10237 Keppler PL
San Diego, CA 92124-2507
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
| License | State | Type | Specialty |
|---|---|---|---|
| PCCI 2635 | CA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Past | Accepting new patients | |
| Community Research Foundation Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1881717304
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1083006332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10237 KEPPLER PL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921242507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10717 CAMINO RUIZ",
"address_2": "#207",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921267102",
"telephone_number": "858-695-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELDON",
"first_name": "EMMILY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "PCCI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-24",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "PCCI 2635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.