Individual provider Active NPI

Anna Weigle, LCMHC

  • Mental Health Counselor
  • Keene, NH
National Provider Identifier
1255097796
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2412 Issued in NH
Practice address
800 Park Ave RM 101
Keene, NH 03431-1513
Phone
(603) 322-1367
Fax
(802) 633-6759
NPI assigned
Nov 9, 2021
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2412 NH Primary
Professional Counselor 101YP2500X LPC.0017050 CO

Addresses

Primary practice location

800 Park Ave RM 101
Keene, NH 03431-1513

Mailing address

PO Box 294
Keene, NH 03431-0294
Phone (603) 322-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830000240 NH Practitioner - Mental Health Counselor 6507300951 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0017050COMDProfessional Counselor
2412NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Purple Finch Counseling PLLC Mental Health CurrentSince May 19, 2024 Accepting new patients
Anew Behavioral Health LLC Past Accepting new patients

Locations

372 West St
#302
Keene, NH 03431

372 West St
Ste 102
Keene, NH 03431
Phone (603) 338-0033

800 Park Ave
Rm 101
Keene, NH 03431
Phone (603) 322-1367

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1255097796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034310294",
            "telephone_number": "603-322-1367",
            "fax_number": "802-633-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PARK AVE RM 101",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311513",
            "telephone_number": "603-322-1367",
            "fax_number": "802-633-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGLE",
        "first_name": "ANNA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2412",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0017050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.