Jeanette Ann Weems, LPC-S, CRC, MEDIATOR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

20126 Issued in TX

Practice address

9500 Ray White Rd Ste 200
Fort Worth, TX 76244

Phone

(214) 228-3916

Fax

(855) 529-3367

NPI assigned

Feb 29, 2008

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Positive Perceptions

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1831671296

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535932800000",
    "number": "1154591584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 RAY WHITE RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449105",
            "telephone_number": "214-228-3916",
            "fax_number": "855-529-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 RAY WHITE RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "214-228-3916",
            "fax_number": "855-529-3367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Ravenwood Dr",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750502027",
            "country_code": "US",
            "telephone_number": "972-352-2977",
            "fax_number": "972-352-2977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEEMS",
        "first_name": "JEANETTE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC-S, CRC, MEDIATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2018-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "20126",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "20126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Weeks
• Natalie Lillian Weeks, PT
• Rachael Weeks
• Susan Weeks, MS, RN, LMFT, LCDC
• Sarah Weeldreyer, PT, DPT, SCS, CSCS
• Isuri Weerasinghe, MPAS, MPH, PA-C
• Jeffrey D. Weertman, CRNA
• David A Weeter
• Jonathan Wei, DO
• Jeanette Kay Weicht, PA

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.