Virgil David Weiss, M.S., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2003030509 Issued in MO

Practice address

2850 W Clay St
Suite 255
Saint Charles, MO 63301-2573

Phone

(314) 630-5101

Fax

(636) 925-3159

NPI assigned

Jul 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1093915035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 W CLAY ST",
            "address_2": "SUITE 255",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012573",
            "telephone_number": "314-630-5101",
            "fax_number": "636-925-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W CLAY ST",
            "address_2": "SUITE 255",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012573",
            "telephone_number": "314-630-5101",
            "fax_number": "636-925-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "VIRGIL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2003030509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.