Individual provider Active NPI

Gregory Andrew Weichhand Jr., LLP, LPC

  • Counseling Psychologist
  • Grand Rapids, MI
National Provider Identifier
1083966287
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
2716 E Paris Ave SE
Grand Rapids, MI 49546-6139
Phone
(616) 975-0700
NPI assigned
Oct 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

2716 E Paris Ave SE
Grand Rapids, MI 49546-6139

Mailing address

54 Oswego St NW
Grand Rapids, MI 49504-6046
Phone (616) 915-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230418002244 MI Practitioner - Psychologist Billing Independently 4789059007 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greg Weichhand LLC Professional CurrentSince Mar 17, 2023 Accepting new patients

Locations

2716 East Paris Ave SE
Grand Rapids, MI 49546
Phone (616) 949-9531

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1083966287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 OSWEGO ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495046046",
            "telephone_number": "616-915-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466139",
            "telephone_number": "616-975-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEICHHAND",
        "first_name": "GREGORY",
        "middle_name": "ANDREW",
        "name_suffix": "Jr.",
        "credential": "LLP, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.