Samuel Peter Weber, MS
Individual provider Active NPI Mental Health Counselor · Sheboygan, WI
NPI 1417731027 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1417731027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 7552-226 (WI)
- Practice address
- 1011 N 8TH St
Sheboygan, WI 53081-4006 - Phone
- (920) 459-3163
- NPI assigned
- Aug 23, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251001001275 | WI | Order and Referring Only - Mental Health Counselor | 8921504747 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7552-226 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sheboygan | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7552-226 | WI | |
| Mental Health Counselor | 101YM0800X | 7552-226 | WI | Yes |
Addresses
Primary practice location
1011 N 8TH St
Sheboygan, WI 53081-4006
Mailing address
1011 N 8TH St
Sheboygan, WI 53081-4006
Phone (920) 459-3163
Other providers in Sheboygan, WI
- T. Gregg Watson
- Toby Tyler Watson
- We Comfort You, Inc.
- Jacob Ryan Webber
- Stephen Lee Webber
- Jesika M Weigel
- Geoffrey Wein
- Jeffrey Alan Weinshrott
- Nicole M Weis
- Amy C Weiss
All providers in Sheboygan, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.