Individual provider Active NPI

Patricia Lea Weber, LPCC

  • Professional Counselor
  • Bastrop, TX
National Provider Identifier
1265107650
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2940 Issued in MN
Practice address
173 Cassel Way
Bastrop, TX 78602-5727
Phone
(952) 210-6285
NPI assigned
Aug 9, 2021
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 88472 TX
Professional Counselor 101YP2500X 2940 MN Primary

Addresses

Primary practice location

173 Cassel Way
Bastrop, TX 78602-5727

Mailing address

489 Agnes St Ste 112-613
Bastrop, TX 78602-2156
Phone (952) 210-6285

Other practice location 1

2324 University Ave W Ste 120
Saint Paul, MN 55114-1854
Phone (651) 644-4100 ext. 137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240123002207 TX Practitioner - Mental Health Counselor 8527410802 Reassigns benefits to 1 organization
I20240620003409 MN Practitioner - Mental Health Counselor 8527410802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Restorative Mental Health PLLCGroup PAC ID 6901258284, 4 clinicians
Minnesota Center for Psychology, LLCGroup PAC ID 2264583954, 15 clinicians

Practice addresses (Care Compare)

1604 Industry Dr
Suite 108C
Bastrop, TX 78602-4603
Phone 73725157071

2324 University W Ave
Suite 120
Saint Paul, MN 55114-1854
Phone (651) 644-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2940MNMDProfessional Counselor
88472TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Center for Psychology, LLC CurrentSince May 10, 2024 Accepting new patients
Restorative Mental Health PLLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

2324 University Ave W
Ste 120
Saint Paul, MN 55114
Phone (651) 644-4100

1604 Industry Dr
Ste 108C
Bastrop, TX 78602
Phone (737) 251-5707

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": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1265107650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 AGNES ST STE 112-613",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786022156",
            "telephone_number": "952-210-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 CASSEL WAY",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025727",
            "telephone_number": "952-210-6285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2324 University Ave W Ste 120",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141854",
            "country_code": "US",
            "telephone_number": "651-644-4100 x137",
            "fax_number": "651-644-4885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "PATRICIA",
        "middle_name": "LEA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88472",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "2940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.