Individual provider Active NPI

Robert Benjamin Weigel, LPC

  • Counselor
  • Kalamazoo, MI
National Provider Identifier
1104343912
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401018866 Issued in MI
Practice address
3317 Greenleaf Blvd
Kalamazoo, MI 49008-2516
Phone
(269) 216-3337
NPI assigned
Aug 23, 2017
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401018866 MI Primary

Addresses

Primary practice location

3317 Greenleaf Blvd
Kalamazoo, MI 49008-2516

Mailing address

351 Lake Forest Blvd
Kalamazoo, MI 49006-8310

Other practice location 1

3030 S 9th St
Kalamazoo, MI 49009-7956
Phone (269) 743-6139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240127000684 MI Practitioner - Mental Health Counselor 9436502283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brennerhelp LLCGroup PAC ID 9335526979, 5 clinicians

Practice addresses (Care Compare)

3317 Greenleaf Blvd
Kalamazoo, MI 49008-2516
Phone (269) 216-3337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brennerhelp LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

3317 Greenleaf Blvd
Kalamazoo, MI 49008
Phone (269) 216-3337

4415 Duke St
Ste 1W
Kalamazoo, MI 49008
Phone (269) 216-3337

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, 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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1104343912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 LAKE FOREST BLVD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490068310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 GREENLEAF BLVD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082516",
            "telephone_number": "269-216-3337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 S 9th St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490097956",
            "country_code": "US",
            "telephone_number": "269-743-6139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIGEL",
        "first_name": "ROBERT",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401018866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.