Active NPI
Nicole Megan Weisgerber, CDAC1
- Addiction (Substance Use Disorder) Counselor
- Lexington, KY
National Provider Identifier
1174381909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 286964
- Practice address
- 1093 S Broadway Ste 1218
Lexington, KY 40504-2677 - Phone
- (859) 202-4983
- NPI assigned
- Mar 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 286964 | KY | Primary |
Addresses
Primary practice location
1093 S Broadway Ste 1218
Lexington, KY 40504-2677
Mailing address
607 Judy LN
Lexington, KY 40505-1715
Phone (185) 920-2498
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 |
|---|---|---|---|
| 286964 | KY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1174381909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 JUDY LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405051715",
"telephone_number": "185-920-2498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1093 S BROADWAY STE 1218",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042677",
"telephone_number": "859-202-4983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISGERBER",
"first_name": "NICOLE",
"middle_name": "MEGAN",
"credential": "CDAC1",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-07",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "286964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.