Christine Dievendorf Weiss, M.A.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

L1393931 Issued in MI

Practice address

5400 Holiday Ter Ste 200a
Kalamazoo, MI 49009-2161

Phone

(269) 520-0050

Fax

(269) 520-0051

NPI assigned

Jun 25, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Christine Dievendorf Weiss, PLLC

  • Mental Health Counselor
  • Kalamazoo, MI
  • NPI 1821501933
  NPD Authorized official

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1114155330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 HOLIDAY TER STE 200A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092161",
            "telephone_number": "269-520-0050",
            "fax_number": "269-520-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 HOLIDAY TER STE 200A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092161",
            "telephone_number": "269-520-0050",
            "fax_number": "269-520-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5340 Holiday Ter",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490092196",
            "country_code": "US",
            "telephone_number": "269-372-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "CHRISTINE",
        "middle_name": "DIEVENDORF",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "L1393931",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401011020",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "L1556549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney A Weiner, MA, LLPC, LLMFT
• Heather Weinert
• Jacob M Weintraub, MD
• Jan Marlynn Weir
• Corinne L Weis, PA
• Emily Welch-Walker, BS
• Alaina G Welch
• Branden M Welch, DDS
• Lori Anne Welch, FNP-BC
• Megan Kay Welch, FNP

• Counseling Psychologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.