Individual provider Active NPI

Marc J Weisburg, LPMHC

  • Mental Health Counselor
  • Wilmington, DE
National Provider Identifier
1386799468
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0000778 Issued in DE
Practice address
501 Silverside Rd Ste 37
Wilmington, DE 19809-1388
Phone
(302) 409-0750
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC-0000778 DE Primary
Counselor 101Y00000X PC-0000778 DE
Professional Counselor 101YP2500X PC-0000778 DE

Addresses

Primary practice location

501 Silverside Rd Ste 37
Wilmington, DE 19809-1388

Mailing address

501 Silverside Rd Ste 37
Wilmington, DE 19809-1388
Phone (302) 409-0750

Other identifiers 1

IdentifierTypeStateIssuer
1000036908MedicaidDE

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
PC-0000778DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Weisburg LLC Counselor CurrentSince Dec 3, 2023 Accepting new patients
Jewish Family Services of Delaware PastSince Aug 1, 2016 Accepting new patients

Locations

501 Silverside Rd
Ste 37
Wilmington, DE 19809
Phone (302) 409-0750

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1386799468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SILVERSIDE RD STE 37",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091388",
            "telephone_number": "302-409-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SILVERSIDE RD STE 37",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091388",
            "telephone_number": "302-409-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBURG",
        "first_name": "MARC",
        "middle_name": "J",
        "credential": "LPMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0000778",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "DE",
            "license": "PC-0000778",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0000778",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000036908",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.