Organization Active NPI

Paul Wiemerslage LCSW LLC

Doing business as Paul Wiemerslage LCSW

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1427426733
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
149.015124 Issued in IL
Legal business name
PAUL WIEMERSLAGE LCSW LLC
Doing business as
Paul Wiemerslage LCSW
Practice address
180 N Michigan Ave
Suite 2410
Chicago, IL 60601-7401
Phone
(720) 767-2859
NPI assigned
Sep 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Paul K Wiemerslage, LCSW
Title
Owner/Psychotherapist
Phone
(720) 767-2859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 149.015124 IL Primary

Addresses

Primary practice location

180 N Michigan Ave
Suite 2410
Chicago, IL 60601-7401

Mailing address

180 N Michigan Ave
Suite 2410
Chicago, IL 60601-7401
Phone (720) 767-2859

Other names 1

  • Paul Wiemerslage LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

180 N Michigan Ave
Ste 2410
Chicago, IL 60601
Phone (720) 767-2859

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1427426733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE",
            "address_2": "SUITE 2410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017401",
            "telephone_number": "720-767-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE",
            "address_2": "SUITE 2410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017401",
            "telephone_number": "720-767-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL WIEMERSLAGE LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "WIEMERSLAGE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "720-767-2859",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149.015124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul Wiemerslage LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.