Individual provider Active NPI

Johannes Weidenmueller

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1265797500
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P81364 Issued in NY
Practice address
1705 Dorchester Rd Apt 2a
Brooklyn, NY 11226-5721
Phone
(917) 991-0865
NPI assigned
Jul 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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 P81364 NY Primary

Addresses

Primary practice location

1705 Dorchester Rd Apt 2a
Brooklyn, NY 11226-5721

Mailing address

1705 Dorchester Rd Apt 2a
Brooklyn, NY 11226-5721

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
P81364NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1265797500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 DORCHESTER RD APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 DORCHESTER RD APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265721",
            "telephone_number": "917-991-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDENMUELLER",
        "first_name": "JOHANNES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P81364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.