Individual provider Active NPI

John Michael Weber, MA, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Seabrook, TX
National Provider Identifier
1205425360
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
14639 Issued in TX
Practice address
2727 Nasa Pkwy Apt 1015
Seabrook, TX 77586-3242
Phone
(346) 287-2740
NPI assigned
Jan 13, 2021
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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 14639 TX Primary

Addresses

Primary practice location

2727 Nasa Pkwy Apt 1015
Seabrook, TX 77586-3242

Mailing address

2727 Nasa Pkwy Apt 1015
Seabrook, TX 77586-3242
Phone (346) 287-2740

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://portal.therapyappointment.com/index.cfm/people:user Health Information Exchange (HIE)

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
14639TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1205425360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 NASA PKWY APT 1015",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775863242",
            "telephone_number": "346-287-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 NASA PKWY APT 1015",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775863242",
            "telephone_number": "346-287-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "MA, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://portal.therapyappointment.com/index.cfm/people:user",
            "affiliation": "N",
            "endpointDescription": "Therapy Appointment",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Direct messaing",
            "address_1": "2727 Nasa Pkwy Apt 1015",
            "city": "Seabrook",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775863242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seabrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.