Weimin Grace Blocher

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

071008605 Issued in IL

Practice address

201 W Springfield Ave Ste 211
Champaign, IL 61820-4880

Phone

(217) 621-6180

NPI assigned

Jun 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Grace Blocher Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 25, 2017 through Jan 25, 2027

Medicare enrollment (NPD)

Not enrolled

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.

• Graceway Psychology Group, LLC

  • Clinical Psychologist
  • Champaign, IL
  • NPI 1275900896
  NPD (past) Authorized official

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1235577990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W SPRINGFIELD AVE STE 211",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204880",
            "telephone_number": "217-621-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W SPRINGFIELD AVE STE 211",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204880",
            "telephone_number": "217-621-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCHER",
        "first_name": "WEIMIN",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008605",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IL",
            "license": "071008605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "BLOCHER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nila N Blair, COTA
• Cody Blanchard
• Richard Blanks, M.D.
• Billie Jo Blanton, BS
• Debra Lynn Bliss, OTR-L
• Bloom and Blossom Speech Therapy, PLLC
• Camden Blowers
• Twila Blum, RN, IBCLC
• Board of Trustees of the University of Illinois
• Shauna Boatright, LCSW

• Counseling Psychologist in Champaign, IL
• Providers in Champaign, IL by specialty
• Counseling Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.