Active NPI
Alexander E Weiss, MA, LPC, NCC
- Mental Health Counselor
- Bend, OR
National Provider Identifier
1285905331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2955 N Highway 97 Ste 100
Bend, OR 97703-7559 - Phone
- (541) 419-6958
- Fax
- (541) 600-4731
- NPI assigned
- Jan 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X | C2790 | OR |
Addresses
Primary practice location
2955 N Highway 97 Ste 100
Bend, OR 97703-7559
Mailing address
2955 N Highway 97 Ste 100
Bend, OR 97703-7559
Phone (541) 419-6958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 9, 2024 through Feb 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2790 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701561600000",
"number": "1285905331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2955 N HIGHWAY 97 STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977037559",
"telephone_number": "541-419-6958",
"fax_number": "541-600-4731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 N HIGHWAY 97 STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977037559",
"telephone_number": "541-419-6958",
"fax_number": "541-600-4731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "ALEXANDER",
"middle_name": "E",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-21",
"last_updated": "2023-12-03",
"certification_date": "2023-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C2790",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.