Individual provider Active NPI

Julie M Weiner-Dabda, MC, NCC, LPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1396974010
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-13264 Issued in AZ
Practice address
2120 W Ina Rd
Ste 103E
Tucson, AZ 85741-2694
Phone
(520) 661-6718
NPI assigned
Jul 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LAC-12736 AZ
Professional Counselor 101YP2500X LPC-13264 AZ Primary

Addresses

Primary practice location

2120 W Ina Rd
Ste 103E
Tucson, AZ 85741-2694

Mailing address

9486 N Sammy Ave
Tucson, AZ 85742-8366
Phone (520) 661-6718

Other names 1

  • Mrs. Julie M Weiner Professional name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LAC-12736AZMDCounselor
LPC-13264AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CH MH Services (Wa), LLC Past Accepting new patients

Organizations & group practices 1

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1396974010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9486 N SAMMY AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857428366",
            "telephone_number": "520-661-6718",
            "fax_number": "520-577-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W INA RD",
            "address_2": "STE 103E",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412694",
            "telephone_number": "520-661-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER-DABDA",
        "first_name": "JULIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MC, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-12736",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-13264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "WEINER",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "MC, NCC, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.