Individual provider Active NPI

Valerie Weber, MA, LMHC

  • Mental Health Counselor
  • La Porte, IN
National Provider Identifier
1255476156
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39001617A Issued in IN
Practice address
804 Monroe St
La Porte, IN 46350-3511
Phone
(219) 229-0109
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 39001617A IN Primary

Addresses

Primary practice location

804 Monroe St
La Porte, IN 46350-3511

Mailing address

804 Monroe St
La Porte, IN 46350-3511
Phone (219) 229-0109

Other identifiers 4

IdentifierTypeStateIssuer
121577OtherINVALUE OPTIONS
200811120AMedicaidIN
22000000362356OtherINANTHEM BLUE CROSS AND BLU
794834000OtherINMEGELLAN HEALTH SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240104004239 IN Practitioner - Mental Health Counselor 0244606937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Indiana TherapiesGroup PAC ID 7517333206, 4 clinicians

Practice addresses (Care Compare)

804 Monroe St
La Porte, IN 46350-3511
Phone (219) 229-0109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
39001617AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Indiana Therapies Mental Health CurrentSince Mar 20, 2008 Accepting new patients
Purple Door Academy PastSince Mar 1, 2020 Accepting new patients

Locations

804 Monroe St
La Porte, IN 46350
Phone (219) 229-0109

705 Harrison St
La Porte, IN 46350
Phone (219) 229-0109

910 Michigan Ave
La Porte, IN 46350
Phone (219) 229-0109

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1255476156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 MONROE ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503511",
            "telephone_number": "219-229-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 MONROE ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503511",
            "telephone_number": "219-229-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "VALERIE",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001617A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "121577",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200811120A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLU",
            "identifier": "22000000362356",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEGELLAN  HEALTH SERVICES",
            "identifier": "794834000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.