Individual provider Active NPI

Mackenzie A Weiler, LAC

  • Mental Health Counselor
  • Scottsdale, AZ
National Provider Identifier
1225735251
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC-22157 Issued in AZ
Practice address
10245 E Via Linda Ste 218a
Scottsdale, AZ 85258-5317
Phone
(602) 540-0441
NPI assigned
Feb 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAC-22157 AZ Primary

Addresses

Primary practice location

10245 E Via Linda Ste 218a
Scottsdale, AZ 85258-5317

Mailing address

10245 E Via Linda Ste 218a
Scottsdale, AZ 85258-5317
Phone (602) 540-0441

Other identifiers 1

IdentifierTypeStateIssuer
06-2022OtherAZASU - COLLEGE OF INTEGRATED SCIENCES

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

LicenseStateTypeSpecialty
LAC-22157AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teri'S Health Services PastSince Feb 1, 2023 Accepting new patients
Elite Psychology and Wellness, PLLC Mental Health PastSince Aug 6, 2023 Accepting new patients
Oceanbee Wellness, LLC PastSince Dec 8, 2024 Accepting new patients

Organizations & group practices 3

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": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1225735251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10245 E VIA LINDA STE 218A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585317",
            "telephone_number": "602-540-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 E VIA LINDA STE 218A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585317",
            "telephone_number": "602-540-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILER",
        "first_name": "MACKENZIE",
        "middle_name": "A",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-22157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASU - COLLEGE OF INTEGRATED SCIENCES",
            "identifier": "06-2022",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.