Myrna Alvarez Peterson-Weimann, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 9637 Issued in FL

Practice address

1600 Sarno Rd
Suite 119E
Melbourne, FL 32935-4938

Phone

(321) 427-5532

Fax

(321) 250-7175

NPI assigned

Feb 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1457599227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236292",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329236292",
            "telephone_number": "321-427-5532",
            "fax_number": "321-250-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SARNO RD",
            "address_2": "SUITE 119E",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354938",
            "telephone_number": "321-427-5532",
            "fax_number": "321-250-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON-WEIMANN",
        "first_name": "MYRNA",
        "middle_name": "ALVAREZ",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-01",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014374000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter a Koretsky MD PA
• Peter P Zabinski MD Urology LLC
• Najia Elaine Peterkin
• Cindy Peters-Pontones, MACCCSLP
• Jacquelyn Peters, APRN
• Ann E. Peterson, MD
• Elizabeth Peterson, RN
• Jayme M Peterson, PAC
• Kristen D Peterson
• Lila Peterson, APRN

• Mental Health Counselor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.