Active NPI
Carolyn Jane Weimer, LPC
- Professional Counselor
- Pittsburgh, PA
National Provider Identifier
1114389558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007594
- Practice address
- 239 4TH Ave Ste 1801
Pittsburgh, PA 15222-1716 - Phone
- (412) 532-1249
- NPI assigned
- Mar 24, 2016
- Reactivated
- Jul 26, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC007594 | PA | Primary |
Addresses
Primary practice location
239 4TH Ave Ste 1801
Pittsburgh, PA 15222-1716
Mailing address
830 Western Ave
Pittsburgh, PA 15233-1716
Phone (412) 322-2129
Other practice location 1
830 Western Ave
Pittsburgh, PA 15233-1716
Phone (412) 322-2129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC007594 | Other | PA | COMMONWEALTH OF PENNSYLVANIA |
Other names 1
- Ms. Carolyn Jane Ewalt
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 |
|---|---|---|---|
| PC007594 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evidence Based Therapy & Wellness LLC | Professional | Current | Accepting new patients |
| Counseling and Wellness Center of Pittsburgh | Professional | Past | Accepting new patients |
Locations
239 4th Ave
Ste 1801
Pittsburgh, PA 15222
Phone (412) 532-1249
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.
-
- Professional Counselor
- Pittsburgh, PA
- NPI 1003322298
-
- Professional Counselor
- Pittsburgh, PA
- NPI 1902202732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1114389558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 WESTERN AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152331716",
"telephone_number": "412-322-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 4TH AVE STE 1801",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152221716",
"telephone_number": "412-532-1249"
}
],
"practiceLocations": [
{
"address_1": "830 Western Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152331716",
"country_code": "US",
"telephone_number": "412-322-2129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEIMER",
"first_name": "CAROLYN",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"deactivation_date": "2019-07-19",
"reactivation_date": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF PENNSYLVANIA",
"identifier": "PC007594",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "EWALT",
"middle_name": "JANE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.