Kimberly Weidman-Janak

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701006625 Issued in VA

Practice address

36 Ricketts Dr
Winchester, VA 22601-3676

Phone

(540) 535-1112

NPI assigned

Jun 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1316397409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 STUART CT",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111408",
            "telephone_number": "540-272-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 RICKETTS DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013676",
            "telephone_number": "540-535-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDMAN-JANAK",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Weber, M.D.
• Jaime A Weckesser, PT
• Valerie Dawn Weeks
• Robert William Wehner, M.D.
• Carissa L Wehr, PHARMD
• Emily G Weidner, OT
• Stefanie Weir
• Anne M Weiss, FNP C
• Amanda E Welbourne, PA
• Dawn Catherine Welch, LCSW

• Mental Health Counselor in Winchester, VA
• Providers in Winchester, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.