Veronica Victoria Weiss, LGMFT
Individual provider Active NPI Marriage & Family Therapist · Millersville, MD
NPI 1225614134 · NPPES record last updated Mar 22, 2021
Key facts
- NPI
- 1225614134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LGM804 (MD)
- Practice address
- 1114 Benfield Blvd Ste G
Millersville, MD 21108-2589 - Phone
- (410) 780-5203
- NPI assigned
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thrive Behavioral Health, LLC
Practice addresses (Care Compare)
1114 Benfield Blvd
Suite G
Millersville, MD 21108-2589
Phone (410) 780-5203
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240508000063 | MD | Practitioner - Mental Health Counselor | 5698116762 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGM804 | MD | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Behavioral Health, LLC | Current |
Accepting new patients | |
| Thrive Behavioral Health, LLC | Current |
Accepting new patients |
Locations
1114 Benfield Blvd
Ste G
Millersville, MD 21108
Phone (410) 780-4320
9627 Philadelphia Rd
Ste 160
Rosedale, MD 21237
Phone (410) 780-5205
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LGM804 | MD | Yes |
Addresses
Primary practice location
1114 Benfield Blvd Ste G
Millersville, MD 21108-2589
Mailing address
5801 Bland Ave
Baltimore, MD 21215-4001
Phone (410) 929-5602
Other providers in Millersville, MD
- Jean K Warner
- Priscilla Lydia Warnock
- Aaliyahna Washington
- Frank Benjamin Weiger
- Jeremey Leonard Weiss
- Kirsty Agnes Wheelton
- Lisa Ann Whitaker
- Melissa Giddings Whitaker
- Robert Whitaker
- White Oak Pediatrics, DRS. Battiata & Impeduglia, P.a.
All providers in Millersville, MD · Marriage & Family Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.