Maxwell James Weiss, M.A., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178016757 Issued in IL

Practice address

625 N Michigan Ave Ste 2550
Chicago, IL 60611-3182

Phone

(312) 640-7740

NPI assigned

May 7, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Navi Counseling PLLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1659144004
  NPD Authorized official
• Meridian Psychiatric Partners, LLC

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1982873766
  NPD (past)

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1194309054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 N PINE GROVE AVE APT 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571851",
            "telephone_number": "224-381-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N MICHIGAN AVE STE 2550",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113182",
            "telephone_number": "312-640-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "MAXWELL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178016757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mweiss@meridianproviders.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Meridian Psychiatric Partners, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "625 N Michigan Ave Ste 2550",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606113182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin Barton Weiss, M.D.
• Lauren Weiss, DC
• Madeleine Anna Weiss
• Margaret Weiss, MD
• Max Weiss
• Melinda Weiss, DO
• Michael A. Weiss, LCPC
• Michael T Weiss, NP
• Michele Lynn Weiss, LMFT
• Richard Weiss, DDS

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.