Individual provider Active NPI

Jennifer A Weiberg, M ED, LPC

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1396381125
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021021798 Issued in MO
Practice address
3003 E Chestnut Expy Ste 800
Springfield, MO 65802-6311
Phone
(417) 413-4324
NPI assigned
Nov 27, 2019
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2021021798 MO Primary

Addresses

Primary practice location

3003 E Chestnut Expy Ste 800
Springfield, MO 65802-6311

Mailing address

3003 E Chestnut Expy Ste 800
Springfield, MO 65802-6311
Phone (417) 413-4324

Other practice location 1

630 W Kearney St
Springfield, MO 65803-2508
Phone (417) 761-5000

Other identifiers 1

IdentifierTypeStateIssuer
490097152MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2021021798MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1396381125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 E CHESTNUT EXPY STE 800",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658026311",
            "telephone_number": "417-413-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 E CHESTNUT EXPY STE 800",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658026311",
            "telephone_number": "417-413-4324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 W Kearney St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658032508",
            "country_code": "US",
            "telephone_number": "417-761-5000",
            "fax_number": "417-761-5011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIBERG",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "M ED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021021798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490097152",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.