Individual provider Active NPI

William Leslie Weber-Brown, BS, BCC, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Saint Cloud, MN
National Provider Identifier
1194957522
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
302691 Issued in MN
Practice address
227 10TH Ave N
Saint Cloud, MN 56303-4637
Phone
(320) 492-7609
Fax
(320) 259-0791
NPI assigned
Aug 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 302691 MN Primary

Addresses

Primary practice location

227 10TH Ave N
Saint Cloud, MN 56303-4637

Mailing address

227 10TH Ave N
Saint Cloud, MN 56303-4637
Phone (320) 492-7609

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
302691MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Element Mental Health Services Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1194957522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 10TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034637",
            "telephone_number": "320-492-7609",
            "fax_number": "320-259-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 10TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034637",
            "telephone_number": "320-492-7609",
            "fax_number": "320-259-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER-BROWN",
        "first_name": "WILLIAM",
        "middle_name": "LESLIE",
        "credential": "BS, BCC, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-19",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.